Universal wording updates to improve clarity and intent were made to all FIG text for this form on 11/21/2008.
Section Name
Field Name
Field and/or Section Description
TITLE
ACORD 51 CA (2004/07)
CALIFORNIA EVIDENCE OF
LIABILITY INSURANCE
ACORD 51 CA, California Evidence of Liability Insurance, is used by
insurance companies to prepare evidence of liability insurance for registration renewal
purposes. Companies must comply with specifications provided in the California Code of
Regulation, Title 13, Division 1, Chapter 1, Article 2.3, Section 82.00.
SIGNATURE
Signature of Insurance
Representative
Sign here: Accommodates the signature of the authorized representative (e.g. producer,
agent, broker, etc.). by all companies to issue Certificates. This is required in most states.
INSURANCE
IDENTIFICATION CARD
Name
Enter text: The named insured(s) as it/they will appear on the policy declarations page.
INSURANCE
IDENTIFICATION CARD
Vehicle Identification Number
Enter identifier: The vehicle identification number (VIN).
INSURANCE
IDENTIFICATION CARD
Make
Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy).
INSURANCE
IDENTIFICATION CARD
Year
Enter year: The model year of the vehicle.
INSURANCE
IDENTIFICATION CARD
Policy Number
Enter identifier: The identifier assigned by the insurer to the policy, or submission, being
referenced exactly as it appears on the policy, including prefix and suffix symbols. 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. The date that the terms and conditions of the
policy commence.
INSURANCE
IDENTIFICATION CARD
Expiration Date
Enter date: The date on which the terms and conditions of the policy will expire.
INSURANCE
IDENTIFICATION CARD
Insurance Company Name
Enter text: The insurer's full legal company name(s) as found in the file copy of the policy.
Use the actual name of the company within the group to which the policy has been issued.
This is not the insurer's group name or trade name.
INSURANCE
IDENTIFICATION CARD
Street Address
Enter text: The first line of the insurer's mailing address.
INSURANCE
IDENTIFICATION CARD
City
Enter text: The city of the insurer's mailing address.
INSURANCE
IDENTIFICATION CARD
State
Enter code: The state or province of the insurer's mailing address.
INSURANCE
IDENTIFICATION CARD
Zip Code
Enter code: The postal code of the insurer's mailing address.
ACORD 51 CA (2004/07)
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Section Name
Field Name
Field and/or Section Description
INSURANCE
IDENTIFICATION CARD
NAIC Number
Enter code: The identification code assigned to the insurer by the NAIC.
Edition
Date
The edition identifier of the form including the form number and edition (the date is
typically formatted YYYY/MM).
ACORD 51 CA (2004/07)
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