ACORD 51 FL (2009/07) - Florida Commercial Auto Insurance Identification Card

ACORD 51 FL (2009/07) - Florida Commercial Auto Insurance Identification Card
ACORD 51 FL, Florida Commercial Auto Insurance Identification Card, was created in response to Florida regulations. The main differences
between the generic ACORD Automobile Insurance Card, ACORD 50, and the Florida card are:
* This card should be issued for vehicles insured under a commercial auto policy. For personal auto insurance policies, use ACORD 50 FL, Florida
Personal Auto Insurance Identification Card
* The size of the card is 3 1/2 inches wide, 2 1/4 inches high (wallet size)
* The name of the insurance carrier should be followed by the carrier's unique Florida company code.
* Box referring to Personal Injury Protection Benefits / Bodily Injury Liability must be checked, according to the coverage provided
* The insured should be issued two cards.
* If more than twenty-five (25) vehicles are insured under one policy, indicate FLEET COVERAGE in the VEHICLE ID # field and leave YEAR, and
MAKE / MODEL fields blank.
Form Page 1
Section Name
Field Name
Description
INSURANCE
IDENTIFICATION CARD
Company
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
Florida Company Code
Enter identifier: The identification code assigned to the insurer by the state.
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. (MM/DD/YYYY)
INSURANCE
IDENTIFICATION CARD
Personal Injury Protection
Benefits / Property Damage
Liability
Check the box (if applicable): Indicates the vehicle has personal injury protection benefits /
property damage liability.
INSURANCE
IDENTIFICATION CARD
Bodily Injury Liability
Check the box (if applicable): Indicates the vehicle has bodily injury liability coverage.
INSURANCE
IDENTIFICATION CARD
Named Insured
Enter text: The named insured(s) as it / they will appear on the policy declarations page.
ACORD 51 FL (2009/07) rev. 06-04-2014
Page 1 of 13
INSURANCE
IDENTIFICATION CARD
Address (Optional)
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
Year
Enter year: The model year of the vehicle. As used here, if more than twenty-five (25) vehicles
are insured under one policy, disregard this field and indicate FLEET COVERAGE in the
VEHICLE ID # field below.
INSURANCE
IDENTIFICATION CARD
Make
Enter text: The manufacturer of the vehicle (e.g., Ford, Chevy). As used here, if more than
twenty-five (25) vehicles are insured under one policy, disregard this field and indicate FLEET
COVERAGE in the VEHICLE ID # field below.
INSURANCE
IDENTIFICATION CARD
Model
Enter text: The manufacturer's model name for the vehicle. As used here, if more than
twenty-five (25) vehicles are insured under one policy, disregard this field and indicate FLEET
COVERAGE in the VEHICLE ID # field below.
INSURANCE
IDENTIFICATION CARD
Vehicle ID #
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the
manufacturer. As used here, if more than twenty-five (25) vehicles are insured under one policy,
indicate FLEET COVERAGE in this field.
INSURANCE
IDENTIFICATION CARD
Company
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
Florida Company Code
Enter identifier: The identification code assigned to the insurer by the state.
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. (MM/DD/YYYY)
INSURANCE
IDENTIFICATION CARD
Personal Injury Protection
Benefits / Property Damage
Liability
Check the box (if applicable): Indicates the vehicle has personal injury protection benefits /
property damage liability.
ACORD 51 FL (2009/07) rev. 06-04-2014
Page 2 of 13
INSURANCE
IDENTIFICATION CARD
Bodily Injury Liability
Check the box (if applicable): Indicates the vehicle has bodily injury liability coverage.
INSURANCE
IDENTIFICATION CARD
Named Insured
Enter text: The named insured(s) as it / they will appear on the policy declarations page.
INSURANCE
IDENTIFICATION CARD
Address (Optional)
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
Year
Enter year: The model year of the vehicle. As used here, if more than twenty-five (25) vehicles
are insured under one policy, disregard this field and indicate FLEET COVERAGE in the
VEHICLE ID # field below.
INSURANCE
IDENTIFICATION CARD
Make
Enter text: The manufacturer of the vehicle (e.g., Ford, Chevy). As used here, if more than
twenty-five (25) vehicles are insured under one policy, disregard this field and indicate FLEET
COVERAGE in the VEHICLE ID # field below.
INSURANCE
IDENTIFICATION CARD
Model
Enter text: The manufacturer's model name for the vehicle. As used here, if more than
twenty-five (25) vehicles are insured under one policy, disregard this field and indicate FLEET
COVERAGE in the VEHICLE ID # field below.
INSURANCE
IDENTIFICATION CARD
Vehicle ID #
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the
manufacturer. As used here, if more than twenty-five (25) vehicles are insured under one policy,
indicate FLEET COVERAGE in this field.
Form Page 2
Section Name
Field Name
Description
Form Page 3
Section Name
Field Name
Description
INSURANCE
IDENTIFICATION CARD
Company
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.
ACORD 51 FL (2009/07) rev. 06-04-2014
Page 3 of 13
INSURANCE
IDENTIFICATION CARD
Florida Company Code
Enter identifier: The identification code assigned to the insurer by the state.
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. (MM/DD/YYYY)
INSURANCE
IDENTIFICATION CARD
Personal Injury Protection
Benefits / Property Damage
Liability
Check the box (if applicable): Indicates the vehicle has personal injury protection benefits /
property damage liability.
INSURANCE
IDENTIFICATION CARD
Bodily Injury Liability
Check the box (if applicable): Indicates the vehicle has bodily injury liability coverage.
INSURANCE
IDENTIFICATION CARD
Named Insured
Enter text: The named insured(s) as it / they will appear on the policy declarations page.
INSURANCE
IDENTIFICATION CARD
Address (Optional)
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
Year
Enter year: The model year of the vehicle. As used here, if more than twenty-five (25) vehicles
are insured under one policy, disregard this field and indicate FLEET COVERAGE in the
VEHICLE ID # field below.
INSURANCE
IDENTIFICATION CARD
Make
Enter text: The manufacturer of the vehicle (e.g., Ford, Chevy). As used here, if more than
twenty-five (25) vehicles are insured under one policy, disregard this field and indicate FLEET
COVERAGE in the VEHICLE ID # field below.
INSURANCE
IDENTIFICATION CARD
Model
Enter text: The manufacturer's model name for the vehicle. As used here, if more than
twenty-five (25) vehicles are insured under one policy, disregard this field and indicate FLEET
COVERAGE in the VEHICLE ID # field below.
ACORD 51 FL (2009/07) rev. 06-04-2014
Page 4 of 13
INSURANCE
IDENTIFICATION CARD
Vehicle ID #
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the
manufacturer. As used here, if more than twenty-five (25) vehicles are insured under one policy,
indicate FLEET COVERAGE in this field.
INSURANCE
IDENTIFICATION CARD
Company
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
Florida Company Code
Enter identifier: The identification code assigned to the insurer by the state.
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. (MM/DD/YYYY)
INSURANCE
IDENTIFICATION CARD
Personal Injury Protection
Benefits / Property Damage
Liability
Check the box (if applicable): Indicates the vehicle has personal injury protection benefits /
property damage liability.
INSURANCE
IDENTIFICATION CARD
Bodily Injury Liability
Check the box (if applicable): Indicates the vehicle has bodily injury liability coverage.
INSURANCE
IDENTIFICATION CARD
Named Insured
Enter text: The named insured(s) as it / they will appear on the policy declarations page.
INSURANCE
IDENTIFICATION CARD
Address (Optional)
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
Year
Enter year: The model year of the vehicle. As used here, if more than twenty-five (25) vehicles
are insured under one policy, disregard this field and indicate FLEET COVERAGE in the
VEHICLE ID # field below.
ACORD 51 FL (2009/07) rev. 06-04-2014
Page 5 of 13
INSURANCE
IDENTIFICATION CARD
Make
Enter text: The manufacturer of the vehicle (e.g., Ford, Chevy). As used here, if more than
twenty-five (25) vehicles are insured under one policy, disregard this field and indicate FLEET
COVERAGE in the VEHICLE ID # field below.
INSURANCE
IDENTIFICATION CARD
Model
Enter text: The manufacturer's model name for the vehicle. As used here, if more than
twenty-five (25) vehicles are insured under one policy, disregard this field and indicate FLEET
COVERAGE in the VEHICLE ID # field below.
INSURANCE
IDENTIFICATION CARD
Vehicle ID #
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the
manufacturer. As used here, if more than twenty-five (25) vehicles are insured under one policy,
indicate FLEET COVERAGE in this field.
INSURANCE
IDENTIFICATION CARD
Company
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
Florida Company Code
Enter identifier: The identification code assigned to the insurer by the state.
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. (MM/DD/YYYY)
INSURANCE
IDENTIFICATION CARD
Personal Injury Protection
Benefits / Property Damage
Liability
Check the box (if applicable): Indicates the vehicle has personal injury protection benefits /
property damage liability.
INSURANCE
IDENTIFICATION CARD
Bodily Injury Liability
Check the box (if applicable): Indicates the vehicle has bodily injury liability coverage.
INSURANCE
IDENTIFICATION CARD
Named Insured
Enter text: The named insured(s) as it / they will appear on the policy declarations page.
INSURANCE
IDENTIFICATION CARD
Address (Optional)
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.
ACORD 51 FL (2009/07) rev. 06-04-2014
Page 6 of 13
INSURANCE
IDENTIFICATION CARD
Enter code: The named insured's mailing address postal code.
INSURANCE
IDENTIFICATION CARD
Year
Enter year: The model year of the vehicle. As used here, if more than twenty-five (25) vehicles
are insured under one policy, disregard this field and indicate FLEET COVERAGE in the
VEHICLE ID # field below.
INSURANCE
IDENTIFICATION CARD
Make
Enter text: The manufacturer of the vehicle (e.g., Ford, Chevy). As used here, if more than
twenty-five (25) vehicles are insured under one policy, disregard this field and indicate FLEET
COVERAGE in the VEHICLE ID # field below.
INSURANCE
IDENTIFICATION CARD
Model
Enter text: The manufacturer's model name for the vehicle. As used here, if more than
twenty-five (25) vehicles are insured under one policy, disregard this field and indicate FLEET
COVERAGE in the VEHICLE ID # field below.
INSURANCE
IDENTIFICATION CARD
Vehicle ID #
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the
manufacturer. As used here, if more than twenty-five (25) vehicles are insured under one policy,
indicate FLEET COVERAGE in this field.
INSURANCE
IDENTIFICATION CARD
Company
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
Florida Company Code
Enter identifier: The identification code assigned to the insurer by the state.
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. (MM/DD/YYYY)
INSURANCE
IDENTIFICATION CARD
Personal Injury Protection
Benefits / Property Damage
Liability
Check the box (if applicable): Indicates the vehicle has personal injury protection benefits /
property damage liability.
INSURANCE
IDENTIFICATION CARD
Bodily Injury Liability
Check the box (if applicable): Indicates the vehicle has bodily injury liability coverage.
INSURANCE
IDENTIFICATION CARD
Named Insured
Enter text: The named insured(s) as it / they will appear on the policy declarations page.
INSURANCE
IDENTIFICATION CARD
Address (Optional)
Enter text: The named insured's mailing address line one.
INSURANCE
IDENTIFICATION CARD
Enter text: The named insured's mailing address line two.
ACORD 51 FL (2009/07) rev. 06-04-2014
Page 7 of 13
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
Year
Enter year: The model year of the vehicle. As used here, if more than twenty-five (25) vehicles
are insured under one policy, disregard this field and indicate FLEET COVERAGE in the
VEHICLE ID # field below.
INSURANCE
IDENTIFICATION CARD
Make
Enter text: The manufacturer of the vehicle (e.g., Ford, Chevy). As used here, if more than
twenty-five (25) vehicles are insured under one policy, disregard this field and indicate FLEET
COVERAGE in the VEHICLE ID # field below.
INSURANCE
IDENTIFICATION CARD
Model
Enter text: The manufacturer's model name for the vehicle. As used here, if more than
twenty-five (25) vehicles are insured under one policy, disregard this field and indicate FLEET
COVERAGE in the VEHICLE ID # field below.
INSURANCE
IDENTIFICATION CARD
Vehicle ID #
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the
manufacturer. As used here, if more than twenty-five (25) vehicles are insured under one policy,
indicate FLEET COVERAGE in this field.
INSURANCE
IDENTIFICATION CARD
Company
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
Florida Company Code
Enter identifier: The identification code assigned to the insurer by the state.
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. (MM/DD/YYYY)
INSURANCE
IDENTIFICATION CARD
Personal Injury Protection
Benefits / Property Damage
Liability
Check the box (if applicable): Indicates the vehicle has personal injury protection benefits /
property damage liability.
INSURANCE
IDENTIFICATION CARD
Bodily Injury Liability
Check the box (if applicable): Indicates the vehicle has bodily injury liability coverage.
INSURANCE
IDENTIFICATION CARD
Named Insured
Enter text: The named insured(s) as it / they will appear on the policy declarations page.
ACORD 51 FL (2009/07) rev. 06-04-2014
Page 8 of 13
INSURANCE
IDENTIFICATION CARD
Address (Optional)
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
Year
Enter year: The model year of the vehicle. As used here, if more than twenty-five (25) vehicles
are insured under one policy, disregard this field and indicate FLEET COVERAGE in the
VEHICLE ID # field below.
INSURANCE
IDENTIFICATION CARD
Make
Enter text: The manufacturer of the vehicle (e.g., Ford, Chevy). As used here, if more than
twenty-five (25) vehicles are insured under one policy, disregard this field and indicate FLEET
COVERAGE in the VEHICLE ID # field below.
INSURANCE
IDENTIFICATION CARD
Model
Enter text: The manufacturer's model name for the vehicle. As used here, if more than
twenty-five (25) vehicles are insured under one policy, disregard this field and indicate FLEET
COVERAGE in the VEHICLE ID # field below.
INSURANCE
IDENTIFICATION CARD
Vehicle ID #
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the
manufacturer. As used here, if more than twenty-five (25) vehicles are insured under one policy,
indicate FLEET COVERAGE in this field.
INSURANCE
IDENTIFICATION CARD
Company
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
Florida Company Code
Enter identifier: The identification code assigned to the insurer by the state.
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. (MM/DD/YYYY)
INSURANCE
IDENTIFICATION CARD
Personal Injury Protection
Benefits / Property Damage
Liability
Check the box (if applicable): Indicates the vehicle has personal injury protection benefits /
property damage liability.
ACORD 51 FL (2009/07) rev. 06-04-2014
Page 9 of 13
INSURANCE
IDENTIFICATION CARD
Bodily Injury Liability
Check the box (if applicable): Indicates the vehicle has bodily injury liability coverage.
INSURANCE
IDENTIFICATION CARD
Named Insured
Enter text: The named insured(s) as it / they will appear on the policy declarations page.
INSURANCE
IDENTIFICATION CARD
Address (Optional)
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
Year
Enter year: The model year of the vehicle. As used here, if more than twenty-five (25) vehicles
are insured under one policy, disregard this field and indicate FLEET COVERAGE in the
VEHICLE ID # field below.
INSURANCE
IDENTIFICATION CARD
Make
Enter text: The manufacturer of the vehicle (e.g., Ford, Chevy). As used here, if more than
twenty-five (25) vehicles are insured under one policy, disregard this field and indicate FLEET
COVERAGE in the VEHICLE ID # field below.
INSURANCE
IDENTIFICATION CARD
Model
Enter text: The manufacturer's model name for the vehicle. As used here, if more than
twenty-five (25) vehicles are insured under one policy, disregard this field and indicate FLEET
COVERAGE in the VEHICLE ID # field below.
INSURANCE
IDENTIFICATION CARD
Vehicle ID #
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the
manufacturer. As used here, if more than twenty-five (25) vehicles are insured under one policy,
indicate FLEET COVERAGE in this field.
INSURANCE
IDENTIFICATION CARD
Company
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
Florida Company Code
Enter identifier: The identification code assigned to the insurer by the state.
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. (MM/DD/YYYY)
ACORD 51 FL (2009/07) rev. 06-04-2014
Page 10 of 13
INSURANCE
IDENTIFICATION CARD
Personal Injury Protection
Benefits / Property Damage
Liability
Check the box (if applicable): Indicates the vehicle has personal injury protection benefits /
property damage liability.
INSURANCE
IDENTIFICATION CARD
Bodily Injury Liability
Check the box (if applicable): Indicates the vehicle has bodily injury liability coverage.
INSURANCE
IDENTIFICATION CARD
Named Insured
Enter text: The named insured(s) as it / they will appear on the policy declarations page.
INSURANCE
IDENTIFICATION CARD
Address (Optional)
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
Year
Enter year: The model year of the vehicle. As used here, if more than twenty-five (25) vehicles
are insured under one policy, disregard this field and indicate FLEET COVERAGE in the
VEHICLE ID # field below.
INSURANCE
IDENTIFICATION CARD
Make
Enter text: The manufacturer of the vehicle (e.g., Ford, Chevy). As used here, if more than
twenty-five (25) vehicles are insured under one policy, disregard this field and indicate FLEET
COVERAGE in the VEHICLE ID # field below.
INSURANCE
IDENTIFICATION CARD
Model
Enter text: The manufacturer's model name for the vehicle. As used here, if more than
twenty-five (25) vehicles are insured under one policy, disregard this field and indicate FLEET
COVERAGE in the VEHICLE ID # field below.
INSURANCE
IDENTIFICATION CARD
Vehicle ID #
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the
manufacturer. As used here, if more than twenty-five (25) vehicles are insured under one policy,
indicate FLEET COVERAGE in this field.
INSURANCE
IDENTIFICATION CARD
Company
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
Florida Company Code
Enter identifier: The identification code assigned to the insurer by the state.
ACORD 51 FL (2009/07) rev. 06-04-2014
Page 11 of 13
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. (MM/DD/YYYY)
INSURANCE
IDENTIFICATION CARD
Personal Injury Protection
Benefits / Property Damage
Liability
Check the box (if applicable): Indicates the vehicle has personal injury protection benefits /
property damage liability.
INSURANCE
IDENTIFICATION CARD
Bodily Injury Liability
Check the box (if applicable): Indicates the vehicle has bodily injury liability coverage.
INSURANCE
IDENTIFICATION CARD
Named Insured
Enter text: The named insured(s) as it / they will appear on the policy declarations page.
INSURANCE
IDENTIFICATION CARD
Address (Optional)
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
Year
Enter year: The model year of the vehicle. As used here, if more than twenty-five (25) vehicles
are insured under one policy, disregard this field and indicate FLEET COVERAGE in the
VEHICLE ID # field below.
INSURANCE
IDENTIFICATION CARD
Make
Enter text: The manufacturer of the vehicle (e.g., Ford, Chevy). As used here, if more than
twenty-five (25) vehicles are insured under one policy, disregard this field and indicate FLEET
COVERAGE in the VEHICLE ID # field below.
INSURANCE
IDENTIFICATION CARD
Model
Enter text: The manufacturer's model name for the vehicle. As used here, if more than
twenty-five (25) vehicles are insured under one policy, disregard this field and indicate FLEET
COVERAGE in the VEHICLE ID # field below.
INSURANCE
IDENTIFICATION CARD
Vehicle ID #
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the
manufacturer. As used here, if more than twenty-five (25) vehicles are insured under one policy,
indicate FLEET COVERAGE in this field.
Form Page 4
ACORD 51 FL (2009/07) rev. 06-04-2014
Page 12 of 13
Section Name
Field Name
Description
ACORD 51 FL (2009/07) rev. 06-04-2014
Page 13 of 13