ACORD 51 NJ (2007/06)

Universal wording updates to improve clarity and intent were made to all FIG text for this form on 10/22/2008.
Section Name
Field Name
Field and/or Section Description
TITLE
ACORD 51 NJ (2007/06)
Permanent State of New Jersey
Insurance Identification Card
This ACORD ID card has been approved for use in New Jersey as a
permanent ID card. This new state-specific form does not replace ACORD 50 WM
(2007/03). Insurers may use either form. It cannot be used as a temporary ID card. Use
ACORD 50 NJ when a temporary ID card must be issued.
This card contains a watermark (the word ACORD), which is invisible when the form is
photocopied. This feature helps to prevent fraudulent reproduction and is required under
the new regulation.
TITLE
IMPORTANT: The watermark cannot be reproduced when ACORD 51 NJ is downloaded
from this website. Paper copies of ACORD 51 NJ that include the watermark can be
ordered from ACORD Member Services at 800-444-3341, Option 2, or by sending us an e-
mail to memberservices@acord.org. As an alternative, plain paper that includes the
watermark (ACORD 360 WM - 4 part, perforated and ACORD 370 WM - non perforated)
can also be ordered. This watermarked paper can be used in an office printer. Two cards
should be issued to the insured. One should be retained in the insured vehicle, and the
other used to provide proof of insurance at the time license plates are purchased.
If the card is being used for coverage under the New Jersey Automobile Full Insurance
Underwriting Association, wording must appear on the front of the card to that effect.
TITLE
The following phrase has been added to the back of the card:
Address for notification of commencement of medical treatment.
All fields on the card must be properly completed to comply with New Jersey regulations.
Note: The Insurance Company Number shown on the card must be the NJ DMV
Insurance Company Number for the company issuing the insurance policy. HOWEVER,
INSURERS INTENDING TO USE ACORD 51 NJ (2007/06) MUST SUBMIT A SPECIMEN
COPY OF THE ID CARD TO THE NEW JERSEY DEPARTMENT OF BANKING AND
INSURANCE, IDENTIFICATION CARD UNIT, BEFORE USE. ALL FIELDS MUST BE
COMPLETED, SO THE NJDOBI CAN BE SURE THAT ALL REQUIRED INFORMATION
WILL APPEAR ON THE FORM.
ACORD 51 NJ (2007/06)
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Section Name
Field Name
Field and/or Section Description
INSURANCE
IDENTIFICATION CARD
Check box - Commercial
Check the box (if applicable): Indicates the policy is a commercial lines policy.
INSURANCE
IDENTIFICATION CARD
Check box - Personal
Check the box (if applicable): Indicates the policy is a personal lines policy.
INSURANCE
IDENTIFICATION CARD
Company Number
Enter identifier: The identification code assigned to the insurer by the state.
INSURANCE
IDENTIFICATION CARD
Company
Enter text: The insurer's full legal company name(s) as found in the file copy of the policy.
This is not the insurer's group name or trade name.
INSURANCE
IDENTIFICATION CARD
Policy Number
Enter identifier: The identifier assigned by the insurer to the policy, or submission, being
referenced. If required for self-insurance, the self-insured license or contract number.
INSURANCE
IDENTIFICATION CARD
Effective Date
Enter date: The effective date of the policy.
INSURANCE
IDENTIFICATION CARD
Expiration Date
Enter date: The date on which the terms and conditions of the policy will expire.
INSURANCE
IDENTIFICATION CARD
Year
Enter year: The model year of the vehicle.
INSURANCE
IDENTIFICATION CARD
Make
Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy).
INSURANCE
IDENTIFICATION CARD
Model
Enter text: The manufacturer's model name for the vehicle.
INSURANCE
IDENTIFICATION CARD
Vehicle Identification Number
Enter identifier: The vehicle identification number (VIN).
INSURANCE
IDENTIFICATION CARD
Agency/Company Issuing Card
Enter text: The full name of the producer/agency.
INSURANCE
IDENTIFICATION CARD
Enter text: The mailing address line one of the producer/agency.
INSURANCE
IDENTIFICATION CARD
Enter text: The mailing address line two of the producer/agency.
INSURANCE
IDENTIFICATION CARD
Enter text: The mailing address city name of the producer/agency.
INSURANCE
IDENTIFICATION CARD
Enter code: The mailing address state or province code of the producer/agency.
INSURANCE
IDENTIFICATION CARD
Enter code: The mailing address postal code of the producer/agency.
ACORD 51 NJ (2007/06)
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Section Name
Field Name
Field and/or Section Description
INSURANCE
IDENTIFICATION CARD
Insured
Enter text: The named insureds full name as it appears on the policy declarations page.
INSURANCE
IDENTIFICATION CARD
Enter text: The named insured's mailing address line one.
INSURANCE
IDENTIFICATION CARD
Enter text: The named insured's mailing address line two.
INSURANCE
IDENTIFICATION CARD
Enter text: The named insured's mailing address city name.
INSURANCE
IDENTIFICATION CARD
Enter code: The named insured's mailing address state or province code.
INSURANCE
IDENTIFICATION CARD
Enter code: The named insured's mailing address postal code.
INSURANCE
IDENTIFICATION CARD
Address for Notification
Enter text: The name of the individual, as established by the insurer, to be notified in the
event medical treatment is required.
INSURANCE
IDENTIFICATION CARD
Address for Notification
Enter text: The address of the insurer's medical treatment contact.
INSURANCE
IDENTIFICATION CARD
Address for Notification
Enter text: The city of the insurer's medical treatment contact.
INSURANCE
IDENTIFICATION CARD
Enter code: The state or province of the insurer's medical treatment contact.
INSURANCE
IDENTIFICATION CARD
Enter code: The postal code of the insurer's medical treatment contact.
Edition
Date
The edition identifier of the form including the form number and edition (the date is
typically formatted YYYY/MM).
ACORD 51 NJ (2007/06)
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