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 101 (2008/01)
Additional Remarks Schedule
The ACORD 101, Additional Remarks Schedule, is used as an
attachment to any ACORD form when more space is required for additional remarks or
comments.
IDENTIFICATION SECTION Agency Customer ID
Enter identifier: The customer's identification number assigned by the producer (e.g.
agency or brokerage).
IDENTIFICATION SECTION Loc #
Enter number: The producer assigned number of the location.
IDENTIFICATION SECTION Page _
Enter number: The page number applicable to this page.
IDENTIFICATION SECTION Of _
Enter number: The total number of pages applicable to this form.
IDENTIFICATION SECTION Agency
Enter text: The full name of the producer/agency.
IDENTIFICATION SECTION 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.
IDENTIFICATION SECTION Carrier
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.
IDENTIFICATION SECTION NAIC Code
Enter code: The identification code assigned to the insurer by the NAIC.
IDENTIFICATION SECTION Named Insured
Enter text: The named insureds full name as it appears on the policy declarations page.
IDENTIFICATION SECTION
Enter text: The named insureds full name as it appears on the policy declarations page.
IDENTIFICATION SECTION
Enter text: The named insureds full name as it appears on the policy declarations page.
IDENTIFICATION SECTION
Enter text: The named insureds full name as it appears on the policy declarations page.
IDENTIFICATION SECTION Effective Date
Enter date: The effective date of the policy.
ADDITIONAL REMARKS
Form Number:
Enter identifier: The form number to which this section is attached.
ADDITIONAL REMARKS
Form Title:
Enter text: The name of the form to which this section is attached.
ADDITIONAL REMARKS
Additional Remarks
Enter text: The additional remarks.
Edition
Date
The edition identifier of the form including the form number and edition (the date is
typically formatted YYYY/MM).
ACORD 101 (2008/01)
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