ACORD 50LA Instructions


Section Name Field Name Field and/or Section Description
TITLE ACORD 50 LA (2008/03) Louisiana Auto InsuranceIdentification Card ACORD 50 LA, Louisiana Auto Insurance Identification Card, was created in response to Louisiana regulations. The main differences between the generic ACORD Automobile InsuranceCard, ACORD 50, and the Louisiana card are: * The company NAIC number and name and address must be shown on the front of the card. * The explanation of penalties for failure to comply with statutes and regulations is revised. * A statement is added to the front of the card referencing an authorized insurer who has issued a motor vehicle policy with coverage that meets the minimum liability limits prescribed by law. * The back of the form contains an Important Notice, required by regulation, that explains Louisiana compulsory insurance requirements, and the possible penalties for failing to comply. * The name, address and telephone number of the insurance agent, and a list of any excluded drivers, must appear on the back of the form. * Two cards must be issued to the insured; one to be retained in the insured vehicle, and the second to provide proof of insurance at the time license plates are purchased.
INSURANCE IDENTIFICATION CARD Check box – Commercial Check this box if the vehicle is insured under a commercial policy.
INSURANCE IDENTIFICATION CARD Check box – Personal Check this box if the vehicle is insured under a personal policy.
INSURANCE IDENTIFICATION CARD Company NAIC Number The Company Number that must be shown on the card is the NAIC number for the individual company issuing the policy.
INSURANCE IDENTIFICATION CARD Company Affording Coverage (Name & Address) Name and address of the applicable insurance company. Use the actual name of the company within the group to which the policy has been issued. Do not use group names.
INSURANCE IDENTIFICATION CARD Policy Number Number exactly as it appears on the policy, including prefix and suffix symbols.
INSURANCE IDENTIFICATION CARD Effective Date Enter the effective date shown in the policy.
INSURANCE IDENTIFICATION CARD Expiration Date Enter the expiration date shown in the policy.
INSURANCE IDENTIFICATION CARD Year Year of the motor vehicle.
INSURANCE IDENTIFICATION CARD Make/Model Make and Model of the motor vehicle.
INSURANCE IDENTIFICATION CARD Vehicle Identification Number Vehicle Identification Number of the motor vehicle.
INSURANCE IDENTIFICATION CARD Name of Insured Name of the insured as found on the declarations page of the policy.
INSURANCE IDENTIFICATION CARD Insurance Agent (Name, Address & Telephone Number) Name, address and telephone number of the issuing agent.
INSURANCE IDENTIFICATION CARD Excluded Drivers Excluded drivers, if applicable, must be entered here.