ACORD 51 NV (2013/10) - Nevada Temporary Insurance Identification Card

ACORD 51 NV (2013/10) - Nevada Temporary Insurance Identification Card
ACORD 51 NV, Nevada Temporary Insurance Identification Card, was created in response to Nevada regulations.
The main differences between the generic ACORD Automobile Insurance Card, ACORD 50, and the Nevada Temporary card are:
* This is a TEMPORARY card. It cannot be used as a permanent ID card. The card expires 60 days after the effective date.
* A statement is added to the front of the card stating Coverage meets requirements set forth in NRS 485.185
* The back of the form contains an Important Notice, required by regulation, that states that the form is printed on special Watermark paper (The
watermark is the word ACORD.)
* A statement is added to the back of the card stating This card has been approved by the Nevada Commissioner of Insurance.
* Font size of data entered into the fields must be 8 point bold font.
This form consists of three pages. Page 1 should be used when you wish to print one entire ID card to a page. Pages 2 and 3 should be used to
print one ID card front to back.
IMPORTANT: The watermark cannot be reproduced when ACORD 51 NV is downloaded from this website. Paper copies of ACORD 51 NV that
include the watermark can be ordered from ACORD Member Services at 800-444-3341 or by sending us an e-mail to memberservices@acord.org.
As an alternative, plain paper that includes the watermark (ACORD 370 WM) can also be ordered. This watermarked paper can be used in an
office printer.
Form Page 1
Section Name
Field Name
Description
INSURANCE
IDENTIFICATION CARD
Check box - Commercial
One
Check the box (if applicable): Indicates the policy is a commercial lines policy.
INSURANCE
IDENTIFICATION CARD
Check box - Fleet One
Check the box (if applicable): Indicates the policy is a fleet policy.
INSURANCE
IDENTIFICATION CARD
Check box - Personal One
Check the box (if applicable): Indicates the policy is a personal lines policy.
INSURANCE
IDENTIFICATION CARD
Company NAIC Number One
Enter code: The identification code assigned to the insurer by the NAIC.
INSURANCE
IDENTIFICATION CARD
Company One
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 NV (2013/10) rev. FIG 09-30-2013
Page 1 of 5
INSURANCE
IDENTIFICATION CARD
Enter text: The first line of the insurer's mailing address.
INSURANCE
IDENTIFICATION CARD
Enter text: The city of the insurer's mailing address.
INSURANCE
IDENTIFICATION CARD
Enter code: The state or province code of the insurer's mailing address.
INSURANCE
IDENTIFICATION CARD
Enter code: The postal code of the insurer's mailing address.
INSURANCE
IDENTIFICATION CARD
Policy Number One
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 One
Enter date: The effective date of the policy. The date that the terms and conditions of the policy
commence.
INSURANCE
IDENTIFICATION CARD
Expiration Date One
Enter date: The date on which the terms and conditions of the policy will expire.
INSURANCE
IDENTIFICATION CARD
Year One
Enter year: The model year of the vehicle.
INSURANCE
IDENTIFICATION CARD
Make One
Enter text: The manufacturer of the vehicle (e.g., Ford, Chevy).
INSURANCE
IDENTIFICATION CARD
Model One
Enter text: The manufacturer's model name for the vehicle.
INSURANCE
IDENTIFICATION CARD
Vehicle Identification
Number One
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the
manufacturer.
INSURANCE
IDENTIFICATION CARD
Name of Registered Owner
Enter text: The name of the registered owner of the vehicles.
INSURANCE
IDENTIFICATION CARD
Agency/Company Issuing
Card One
Enter text: The full name of the producer / agency.
INSURANCE
IDENTIFICATION CARD
Enter number: The producer's contact person's phone number. If applicable, include the area
code and extension.
INSURANCE
IDENTIFICATION CARD
Insured One
Enter text: The named insured(s) as it / they will appear on the policy declarations page.
INSURANCE
IDENTIFICATION CARD
Enter text: The named insured's mailing address line one.
ACORD 51 NV (2013/10)
Page 2 of 5
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
Not Valid for more than _
days
Enter number: The number of days in which coverage is provided.
Form Page 2
Section Name
Field Name
Description
INSURANCE
IDENTIFICATION CARD
Check box - Commercial
One
Check the box (if applicable): Indicates the policy is a commercial lines policy.
INSURANCE
IDENTIFICATION CARD
Check box - Fleet One
Check the box (if applicable): Indicates the policy is a fleet policy.
INSURANCE
IDENTIFICATION CARD
Check box - Personal One
Check the box (if applicable): Indicates the policy is a personal lines policy.
INSURANCE
IDENTIFICATION CARD
Company NAIC Number One
Enter code: The identification code assigned to the insurer by the NAIC.
INSURANCE
IDENTIFICATION CARD
Company One
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
Enter text: The first line of the insurer's mailing address.
INSURANCE
IDENTIFICATION CARD
Enter text: The city of the insurer's mailing address.
INSURANCE
IDENTIFICATION CARD
Enter code: The state or province code of the insurer's mailing address.
INSURANCE
IDENTIFICATION CARD
Enter code: The postal code of the insurer's mailing address.
ACORD 51 NV (2013/10)
Page 3 of 5
INSURANCE
IDENTIFICATION CARD
Policy Number One
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 One
Enter date: The effective date of the policy. The date that the terms and conditions of the policy
commence.
INSURANCE
IDENTIFICATION CARD
Expiration Date One
Enter date: The date on which the terms and conditions of the policy will expire.
INSURANCE
IDENTIFICATION CARD
Year One
Enter year: The model year of the vehicle.
INSURANCE
IDENTIFICATION CARD
Make One
Enter text: The manufacturer of the vehicle (e.g., Ford, Chevy).
INSURANCE
IDENTIFICATION CARD
Model One
Enter text: The manufacturer's model name for the vehicle.
INSURANCE
IDENTIFICATION CARD
Vehicle Identification
Number One
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the
manufacturer.
INSURANCE
IDENTIFICATION CARD
Name of Registered Owner
Enter text: The name of the registered owner of the vehicles.
INSURANCE
IDENTIFICATION CARD
Agency/Company Issuing
Card One
Enter text: The full name of the producer / agency.
INSURANCE
IDENTIFICATION CARD
Enter number: The producer's contact person's phone number. If applicable, include the area
code and extension.
INSURANCE
IDENTIFICATION CARD
Insured One
Enter text: The named insured(s) as it / they will appear 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.
ACORD 51 NV (2013/10)
Page 4 of 5
INSURANCE
IDENTIFICATION CARD
Not Valid for more than _
days
Enter number: The number of days in which coverage is provided.
Form Page 3
Section Name
Field Name
Description
ACORD 51 NV (2013/10)
Page 5 of 5