ACORD 50FL Instructions


ACORD 50 FL (2009/07) rev. 07-31-2009 1 of 10

Section Name Field Name Field and/or Section Description
TITLE ACORD 50 FL (2009/07) FloridaPersonal Auto InsuranceIdentification Card The title of the form. ACORD 50 FL, Florida Auto InsuranceIdentification Card, is used as proof of automobile insurance. The Florida 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: * The size of the card is 3 1/2 inches wide, 2 1/4 inches high * The name of the insurance carrier should be followed by the carrier’s unique five digit Florida company code. * Boxes referring to Personal Injury Protection Benefits/Property Damage Liability and Bodily Injury Liability must be checked, according to the coverage provided. * Statements are included on the back of the card, referring to the providing of Rental Car Coverage, and the fact that misrepresentation of insurance is a first degree misdemeanor. * The insured should be issued two cards.
INSURANCE IDENTIFICATION CARD Company One Enter text: The insurer’s full legal company name(s) as found in thefile 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 One Enter identifier: The identification code assigned to the insurer by the state. As used here, enter the carrier’s unique five digit Florida company code.
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 Personal Injury ProtectionBenefits/Property Damage Liability (checkbox) One Check the box (if applicable): Indicates the vehicle has personal injury protection benefits / property damage liability.
INSURANCE IDENTIFICATION CARD Bodily Injury Liability (checkbox) One Check the box (if applicable): Indicates the vehicle has bodily injury liability coverage.
INSURANCE IDENTIFICATION CARD Named Insured One Enter text: The named insured(s) as it/they will appear on the policy declarations page.
INSURANCE IDENTIFICATION CARD Address (Optional) One 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 50 FL (2009/07) rev. 07-31-2009 2 of 10

Section Name Field Name Field and/or Section Description
INSURANCE IDENTIFICATION CARD Enter code: The named insured’s mailing address postal code.
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 Company Two 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 Two Enter identifier: The identification code assigned to the insurer by the state. As used here, enter the carrier’s unique five digit Florida company code.
INSURANCE IDENTIFICATION CARD Policy Number Two 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 Two Enter date: The effective date of the policy. The date that the terms and conditions of the policy commence.
INSURANCE IDENTIFICATION CARD Personal Injury Protection Benefits/Property Damage Liability (checkbox) Two Check the box (if applicable): Indicates the vehicle has personal injury protection benefits / property damage liability.
INSURANCE IDENTIFICATION CARD Bodily Injury Liability (checkbox) Two Check the box (if applicable): Indicates the vehicle has bodily injury liability coverage.
INSURANCE IDENTIFICATION CARD Named Insured Two Enter text: The named insured(s) as it/they will appear on the policy declarations page.
INSURANCE IDENTIFICATION CARD Address (Optional) Two 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 50 FL (2009/07) rev. 07-31-2009 3 of 10

Section Name Field Name Field and/or Section Description
INSURANCE IDENTIFICATION CARD Enter code: The named insured’s mailing address postal code.
INSURANCE IDENTIFICATION CARD Year Two Enter year: The model year of the vehicle.
INSURANCE IDENTIFICATION CARD Make Two Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy).
INSURANCE IDENTIFICATION CARD Model Two Enter text: The manufacturer’s model name for the vehicle.
INSURANCE IDENTIFICATION CARD Vehicle Identification Number Two Enter identifier: The vehicle identification number (VIN) or serial number assigned by the manufacturer.
INSURANCE IDENTIFICATION CARD Company Three 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 Three Enter identifier: The identification code assigned to the insurer by the state. As used here, enter the carrier’s unique five digit Florida company code.
INSURANCE IDENTIFICATION CARD Policy Number Three 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 Three Enter date: The effective date of the policy. The date that the terms and conditions of the policy commence.
INSURANCE IDENTIFICATION CARD Personal Injury Protection Benefits/Property Damage Liability (checkbox) Three Check the box (if applicable): Indicates the vehicle has personal injury protection benefits / property damage liability.
INSURANCE IDENTIFICATION CARD Bodily Injury Liability (checkbox) Three Check the box (if applicable): Indicates the vehicle has bodily injury liability coverage.
INSURANCE IDENTIFICATION CARD Named Insured Three Enter text: The named insured(s) as it/they will appear on the policy declarations page.
INSURANCE IDENTIFICATION CARD Address (Optional) Three 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 50 FL (2009/07) rev. 07-31-2009 4 of 10

Section Name Field Name Field and/or Section Description
INSURANCE IDENTIFICATION CARD Enter code: The named insured’s mailing address postal code.
INSURANCE IDENTIFICATION CARD Year Three Enter year: The model year of the vehicle.
INSURANCE IDENTIFICATION CARD Make Three Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy).
INSURANCE IDENTIFICATION CARD Model Three Enter text: The manufacturer’s model name for the vehicle.
INSURANCE IDENTIFICATION CARD Vehicle Identification Number Three Enter identifier: The vehicle identification number (VIN) or serial number assigned by the manufacturer.
INSURANCE IDENTIFICATION CARD Company Four 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 Four Enter identifier: The identification code assigned to the insurer by the state. As used here, enter the carrier’s unique five digit Florida company code.
INSURANCE IDENTIFICATION CARD Policy Number Four 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 Four Enter date: The effective date of the policy. The date that the terms and conditions of the policy commence.
INSURANCE IDENTIFICATION CARD Personal Injury Protection Benefits/Property Damage Liability (checkbox) Four Check the box (if applicable): Indicates the vehicle has personal injury protection benefits / property damage liability.
INSURANCE IDENTIFICATION CARD Bodily Injury Liability (checkbox) Four Check the box (if applicable): Indicates the vehicle has bodily injury liability coverage.
INSURANCE IDENTIFICATION CARD Named Insured Four Enter text: The named insured(s) as it/they will appear on the policy declarations page.
INSURANCE IDENTIFICATION CARD Address (Optional) Four 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 50 FL (2009/07) rev. 07-31-2009 5 of 10

Section Name Field Name Field and/or Section Description
INSURANCE IDENTIFICATION CARD Enter code: The named insured’s mailing address postal code.
INSURANCE IDENTIFICATION CARD Year Four Enter year: The model year of the vehicle.
INSURANCE IDENTIFICATION CARD Make Four Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy).
INSURANCE IDENTIFICATION CARD Model Four Enter text: The manufacturer’s model name for the vehicle.
INSURANCE IDENTIFICATION CARD Vehicle Identification Number Four Enter identifier: The vehicle identification number (VIN) or serial number assigned by the manufacturer.
INSURANCE IDENTIFICATION CARD Company Five 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 Five Enter identifier: The identification code assigned to the insurer by the state. As used here, enter the carrier’s unique five digit Florida company code.
INSURANCE IDENTIFICATION CARD Policy Number Five 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 Five Enter date: The effective date of the policy. The date that the terms and conditions of the policy commence.
INSURANCE IDENTIFICATION CARD Personal Injury Protection Benefits/Property Damage Liability (checkbox) Five Check the box (if applicable): Indicates the vehicle has personal injury protection benefits / property damage liability.
INSURANCE IDENTIFICATION CARD Bodily Injury Liability (checkbox) Five Check the box (if applicable): Indicates the vehicle has bodily injury liability coverage.
INSURANCE IDENTIFICATION CARD Named Insured Five Enter text: The named insured(s) as it/they will appear on the policy declarations page.
INSURANCE IDENTIFICATION CARD Address (Optional) Five 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 50 FL (2009/07) rev. 07-31-2009 6 of 10

Section Name Field Name Field and/or Section Description
INSURANCE IDENTIFICATION CARD Enter code: The named insured’s mailing address postal code.
INSURANCE IDENTIFICATION CARD Year Five Enter year: The model year of the vehicle.
INSURANCE IDENTIFICATION CARD Make Five Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy).
INSURANCE IDENTIFICATION CARD Model Five Enter text: The manufacturer’s model name for the vehicle.
INSURANCE IDENTIFICATION CARD Vehicle Identification Number Five Enter identifier: The vehicle identification number (VIN) or serial number assigned by the manufacturer.
INSURANCE IDENTIFICATION CARD Company Six 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 Six Enter identifier: The identification code assigned to the insurer by the state. As used here, enter the carrier’s unique five digit Florida company code.
INSURANCE IDENTIFICATION CARD Policy Number Six 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 Six Enter date: The effective date of the policy. The date that the terms and conditions of the policy commence.
INSURANCE IDENTIFICATION CARD Personal Injury Protection Benefits/Property Damage Liability (checkbox) Six Check the box (if applicable): Indicates the vehicle has personal injury protection benefits / property damage liability.
INSURANCE IDENTIFICATION CARD Bodily Injury Liability (checkbox) Six Check the box (if applicable): Indicates the vehicle has bodily injury liability coverage.
INSURANCE IDENTIFICATION CARD Named Insured Six Enter text: The named insured(s) as it/they will appear on the policy declarations page.
INSURANCE IDENTIFICATION CARD Address (Optional) Six 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 50 FL (2009/07) rev. 07-31-2009 7 of 10

Section Name Field Name Field and/or Section Description
INSURANCE IDENTIFICATION CARD Enter code: The named insured’s mailing address postal code.
INSURANCE IDENTIFICATION CARD Year Six Enter year: The model year of the vehicle.
INSURANCE IDENTIFICATION CARD Make Six Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy).
INSURANCE IDENTIFICATION CARD Model Six Enter text: The manufacturer’s model name for the vehicle.
INSURANCE IDENTIFICATION CARD Vehicle Identification Number Six Enter identifier: The vehicle identification number (VIN) or serial number assigned by the manufacturer.
INSURANCE IDENTIFICATION CARD Company Seven 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 Seven Enter identifier: The identification code assigned to the insurer by the state. As used here, enter the carrier’s unique five digit Florida company code.
INSURANCE IDENTIFICATION CARD Policy Number Seven 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 Seven Enter date: The effective date of the policy. The date that the terms and conditions of the policy commence.
INSURANCE IDENTIFICATION CARD Personal Injury Protection Benefits/Property Damage Liability (checkbox) Seven Check the box (if applicable): Indicates the vehicle has personal injury protection benefits / property damage liability.
INSURANCE IDENTIFICATION CARD Bodily Injury Liability (checkbox) Seven Check the box (if applicable): Indicates the vehicle has bodily injury liability coverage.
INSURANCE IDENTIFICATION CARD Named Insured Seven Enter text: The named insured(s) as it/they will appear on the policy declarations page.
INSURANCE IDENTIFICATION CARD Address (Optional) Seven 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 50 FL (2009/07) rev. 07-31-2009 8 of 10

Section Name Field Name Field and/or Section Description
INSURANCE IDENTIFICATION CARD Enter code: The named insured’s mailing address postal code.
INSURANCE IDENTIFICATION CARD Year Seven Enter year: The model year of the vehicle.
INSURANCE IDENTIFICATION CARD Make Seven Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy).
INSURANCE IDENTIFICATION CARD Model Seven Enter text: The manufacturer’s model name for the vehicle.
INSURANCE IDENTIFICATION CARD Vehicle Identification Number Seven Enter identifier: The vehicle identification number (VIN) or serial number assigned by the manufacturer.
INSURANCE IDENTIFICATION CARD Company Eight 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 Eight Enter identifier: The identification code assigned to the insurer by the state. As used here, enter the carrier’s unique five digit Florida company code.
INSURANCE IDENTIFICATION CARD Policy Number Eight 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 Eight Enter date: The effective date of the policy. The date that the terms and conditions of the policy commence.
INSURANCE IDENTIFICATION CARD Personal Injury Protection Benefits/Property Damage Liability (checkbox) Eight Check the box (if applicable): Indicates the vehicle has personal injury protection benefits / property damage liability.
INSURANCE IDENTIFICATION CARD Bodily Injury Liability (checkbox) Eight Check the box (if applicable): Indicates the vehicle has bodily injury liability coverage.
INSURANCE IDENTIFICATION CARD Named Insured Eight Enter text: The named insured(s) as it/they will appear on the policy declarations page.
INSURANCE IDENTIFICATION CARD Address (Optional) Eight 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 50 FL (2009/07) rev. 07-31-2009 9 of 10

Section Name Field Name Field and/or Section Description
INSURANCE IDENTIFICATION CARD Enter code: The named insured’s mailing address postal code.
INSURANCE IDENTIFICATION CARD Year Eight Enter year: The model year of the vehicle.
INSURANCE IDENTIFICATION CARD Make Eight Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy).
INSURANCE IDENTIFICATION CARD Model Eight Enter text: The manufacturer’s model name for the vehicle.
INSURANCE IDENTIFICATION CARD Vehicle Identification Number Eight Enter identifier: The vehicle identification number (VIN) or serial number assigned by the manufacturer.
INSURANCE IDENTIFICATION CARD Company Nine 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 Nine Enter identifier: The identification code assigned to the insurer by the state. As used here, enter the carrier’s unique five digit Florida company code.
INSURANCE IDENTIFICATION CARD Policy Number Nine 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 Nine Enter date: The effective date of the policy. The date that the terms and conditions of the policy commence.
INSURANCE IDENTIFICATION CARD Personal Injury Protection Benefits/Property Damage Liability (checkbox) Nine Check the box (if applicable): Indicates the vehicle has personal injury protection benefits / property damage liability.
INSURANCE IDENTIFICATION CARD Bodily Injury Liability (checkbox) Nine Check the box (if applicable): Indicates the vehicle has bodily injury liability coverage.
INSURANCE IDENTIFICATION CARD Named Insured Nine Enter text: The named insured(s) as it/they will appear on the policy declarations page.
INSURANCE IDENTIFICATION CARD Address (Optional) Nine 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.
Section Name Field Name Field and/or Section Description
INSURANCE IDENTIFICATION CARD Enter code: The named insured’s mailing address postal code.
INSURANCE IDENTIFICATION CARD Year Nine Enter year: The model year of the vehicle.
INSURANCE IDENTIFICATION CARD Make Nine Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy).
INSURANCE IDENTIFICATION CARD Model Nine Enter text: The manufacturer’s model name for the vehicle.
INSURANCE IDENTIFICATION CARD Vehicle Identification Number Nine Enter identifier: The vehicle identification number (VIN) or serial number assigned by the manufacturer.
Edition Date The edition identifier of the form including the form number and edition (the date is typically formatted YYYY/MM).