ACORD 37 2008/01 Statement of No Loss

Sagitta Page Name Section Name Sagitta Field Name Sagitta Field_Input Details Field Name
Policy Details IDENTIFICATION SECTION Division Division description will comes from Division Master Maintenance   Agency
Division Master Maintenance   IDENTIFICATION SECTION Address #1 The value comes from Division Master Maintenance  
Division Master Maintenance   IDENTIFICATION SECTION Address #2 The value comes from Division Master Maintenance  
Division Master Maintenance   IDENTIFICATION SECTION Zip=City+ST The value comes from Division Master Maintenance  
Division Master Maintenance   IDENTIFICATION SECTION Zip=City+ST The value comes from Division Master Maintenance  
Division Master Maintenance   IDENTIFICATION SECTION Zip=City+ST The value comes from Vendor Codes page from field Name #1  
Division Master Maintenance   IDENTIFICATION SECTION Producer name   Contact Name
Client Details   IDENTIFICATION SECTION Phone number     Phone (A/C, No, Ext)
Client Details   IDENTIFICATION SECTION Fax number   FAX
Client Details   IDENTIFICATION SECTION Email   E-Mail Address
Client Details   IDENTIFICATION SECTION Contact number   Code
Client Details   IDENTIFICATION SECTION Producer code   Subcode
Policy Details IDENTIFICATION SECTION Client CD   Agency Customer ID
Policy Details IDENTIFICATION SECTION Named insured   Named Insured
Policy Details IDENTIFICATION SECTION Supplemental names 2nd Supplemental Name  
Policy Details IDENTIFICATION SECTION Supplemental names 3rd Supplemental Name  
Policy Details IDENTIFICATION SECTION Supplemental names 4th Supplemental Name  
Policy Details IDENTIFICATION SECTION Insurer   Carrier
Insurer Codes Maintenance Page IDENTIFICATION SECTION NAIC Code   NAIC Code
Policy Details IDENTIFICATION SECTION Policy number   Policy #  
Policy Details IDENTIFICATION SECTION Date Cancelled Binder Section Cancellation Date

 

 

Sagitta Page Name Sagitta Field Name Sagitta Field_Input Details Section Name Field Name
Client Details   Producer   RECEIPT Producer