ACORD 38 2013/01 Notice of Insurance Information Practices (Privacy)

Compiled ACORD Identification Data for All versions supported (DE, ND, VA, WV)

 

 

Sagitta Page Name Section Name Sagitta Field Name Field Name
Policy Details IDENTIFICATION SECTION Division Agency Name
Division Master Maintenance IDENTIFICATION SECTION Address #1 Agency Address
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 name Contact Name
Division Master Maintenance IDENTIFICATION SECTION Producer Phone Phone (A/C, No, Ext)
Division Master Maintenance IDENTIFICATION SECTION Fax Fax No. (A/C, No, Ext)
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 Applicant's Name and Mailing Address
Client Details IDENTIFICATION SECTION Address #1  
Client Details IDENTIFICATION SECTION Address #2  
Client Details IDENTIFICATION SECTION Zip=City+ST  
Policy Details IDENTIFICATION SECTION County  
Client Details IDENTIFICATION SECTION Zip=City+ST  
Client Details IDENTIFICATION SECTION Producer name  
Client Details IDENTIFICATION SECTION Phone number Phone (A/C, No)
Policy Details IDENTIFICATION SECTION Insurer Company Name
Insurer Codes Maintenance Page IDENTIFICATION SECTION NAIC Code NAIC Code
Policy Details IDENTIFICATION SECTION policy number Policy Number
Policy Details IDENTIFICATION SECTION Status Check box - New
Policy Details IDENTIFICATION SECTION Status Check box - Renewal
Policy Details IDENTIFICATION SECTION Policy effective date Effective Date
Policy Details IDENTIFICATION SECTION Policy Expiration date Expiration Date