ACORD 36 Agent / Broker of Record Map

 

Sagitta Page Name Section Name Sagitta Field Name Field Name
Policy Details IDENTIFICATION SECTION   Division New Agency
Division Master Maintenance   IDENTIFICATION SECTION   Address #1  
Division Master Maintenance   IDENTIFICATION SECTION   Address #2  
Division Master Maintenance   IDENTIFICATION SECTION   Zip=City+ST  
Division Master Maintenance   IDENTIFICATION SECTION   Zip=City+ST  
Division Master Maintenance   IDENTIFICATION SECTION   Zip=City+ST  
Division Master Maintenance   IDENTIFICATION SECTION   Producer Phone PHONE (A/C, No, Ext)
Division Master Maintenance   IDENTIFICATION SECTION   Fax FAX (A/C, No)
Division Master Maintenance   IDENTIFICATION SECTION   Email E-MAIL ADDRESS
Policy Details IDENTIFICATION SECTION   ContactNumber Code
Policy Details IDENTIFICATION SECTION   Producers Subcode
Policy Details IDENTIFICATION SECTION   Client Code Agency Customer ID
Policy Details IDENTIFICATION SECTION   Insurer Insurance Company Name

 

 

Sagitta Page Name Section Name Sagitta Field Name Field Name
Policy Details SIGNATURE Named Insured Company Name  
Client Details SIGNATURE Address #1   Street Address
Client Details SIGNATURE City, City of Insured  
Client Details SIGNATURE St State of Insured  
Client Details SIGNATURE Zip Code Zip Code of Insured