ACORD 6 Instructions


Section Name Field Name Field and/or Section Description
TITLE ACORD 6 (2009/05) Aviation Witness / Passenger Schedule The title of the form. ACORD 6, Aviation Witness / Passenger Schedule, is used when additional space is required to list witnesses and / or passengers when reporting an aviation loss.
IDENTIFICATION SECTION Agency Customer ID Enter identifier: The customer’s identification number assigned by the producer (e.g. agency or brokerage).
IDENTIFICATION SECTION Page # Enter number: The page number applicable to this page.
IDENTIFICATION SECTION of Total Pages Enter number: The total number of pages applicable to this form (e.g., Page 1 of 4). If only one page, indicate Page 1 of 1.
IDENTIFICATION SECTION Agency Enter text: The full name of the producer/agency.
IDENTIFICATION SECTION Named Insured Enter text: The named insured(s) as it/they will appear on the policy declarations page.
IDENTIFICATION SECTION Policy Number 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.
IDENTIFICATION SECTION Effective Date Enter date: The effective date of the policy. The date that the terms and conditions of the policy commence.
IDENTIFICATION SECTION Carrier 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.
IDENTIFICATION SECTION NAIC Code Enter code: The identification code assigned to the insurer by the NAIC.
WITNESSES OR PASSENGERS # Enter number: The producer assigned number for the witness.
WITNESSES OR PASSENGERS Name & Address Enter text: The name of a person that was a witness to the incident or an uninjured passenger.
WITNESSES OR PASSENGERS Enter text: The first address line of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter text: The second address line of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter text: The city of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter code: The state or province code of a person that was a witness to the incident.
Section Name Field Name Field and/or Section Description
WITNESSES OR PASSENGERS Enter code: The postal code of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Home Phone Enter number: Theprimary phone number of a person that was a witness to the incident. As used here, this is the home phone number.
WITNESSES OR PASSENGERS Business Phone Enter number: The secondary phone number of the witness. As used here, this is the business phone number.
WITNESSES OR PASSENGERS Cell Phone Enter number: The third phone number of the witness. As used here, this is thecell phone number.
WITNESSES OR PASSENGERS Insured Aircraft Check the box (if applicable): Indicates if the witness was in the insured’s aircraft at the time of the incident or accident.
WITNESSES OR PASSENGERS Other Aircraft Check the box (if applicable): Indicates if the witness was in an aircraft other than the insured’s aircraft at the time of the incident or accident.
WITNESSES OR PASSENGERS Other Checkbox Enter text: Indicates the witness was in a location other than those listed. As used here, if “other”, enter the location in Other Location Details.
WITNESSES OR PASSENGERS Other Location Details Enter text: A description of the location of the witness if the witness was not in the insured’s vehicle or aircraft or other involved vehicle or aircraft at the time of the incident.
WITNESSES OR PASSENGERS # Enter number: The producer assigned number for the witness.
WITNESSES OR PASSENGERS Name & Address Enter text: The name of a person that was a witness to the incident or an uninjured passenger.
WITNESSES OR PASSENGERS Enter text: The first address line of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter text: The second address line of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter text: The city of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter code: The state or province code of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter code: The postal code of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Home Phone Enter number: The primary phone number of a person that was a witness to the incident. As used here, this is the home phone number.
WITNESSES OR PASSENGERS Business Phone Enter number: The secondary phone number of the witness. As used here, this is the business phone number.
Section Name Field Name Field and/or Section Description
WITNESSES OR PASSENGERS Cell Phone Enter number: The third phone number of the witness. As used here, this is the cell phone number.
WITNESSES OR PASSENGERS Insured Aircraft Check the box (if applicable): Indicates if the witness was in the insured’s aircraft at the time of the incident or accident.
WITNESSES OR PASSENGERS Other Aircraft Check the box (if applicable): Indicates if the witness was in an aircraft other than the insured’s aircraft at the time of the incident or accident.
WITNESSES OR PASSENGERS Other Checkbox Enter text: Indicates the witness was in a location other than those listed. As used here, if “other”, enter the location in Other Location Details.
WITNESSES OR PASSENGERS Other Location Details Enter text: A description of the location of the witness if the witness was not in the insured’s vehicle or aircraft or other involved vehicle or aircraft at the time of the incident.
WITNESSES OR PASSENGERS # Enter number: The producer assigned number for the witness.
WITNESSES OR PASSENGERS Name & Address Enter text: The name of a person that was a witness to the incident or an uninjured passenger.
WITNESSES OR PASSENGERS Enter text: The first address line of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter text: The second address line of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter text: The city of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter code: The state or province code of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter code: The postal code of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Home Phone Enter number: The primary phone number of a person that was a witness to the incident. As used here, this is the home phone number.
WITNESSES OR PASSENGERS Business Phone Enter number: The secondary phone number of the witness. As used here, this is the business phone number.
WITNESSES OR PASSENGERS Cell Phone Enter number: The third phone number of the witness. As used here, this is the cell phone number.
WITNESSES OR PASSENGERS Insured Aircraft Check the box (if applicable): Indicates if the witness was in the insured’s aircraft at the time of the incident or accident.
WITNESSES OR PASSENGERS Other Aircraft Check the box (if applicable): Indicates if the witness was in an aircraft other than the insured’s aircraft at the time of the incident or accident.
Section Name Field Name Field and/or Section Description
WITNESSES OR PASSENGERS Other Checkbox Enter text: Indicates the witness was in a location other than those listed. As used here, if “other”, enter the location in Other Location Details.
WITNESSES OR PASSENGERS Other Location Details Enter text: A description of the location of the witness if the witness was not in the insured’s vehicle or aircraft or other involved vehicle or aircraft at the time of the incident.
WITNESSES OR PASSENGERS # Enter number: The producer assigned number for the witness.
WITNESSES OR PASSENGERS Name & Address Enter text: The name of a person that was a witness to the incident or an uninjured passenger.
WITNESSES OR PASSENGERS Enter text: The first address line of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter text: The second address line of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter text: The city of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter code: The state or province code of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter code: The postal code of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Home Phone Enter number: The primary phone number of a person that was a witness to the incident. As used here, this is the home phone number.
WITNESSES OR PASSENGERS Business Phone Enter number: The secondary phone number of the witness. As used here, this is the business phone number.
WITNESSES OR PASSENGERS Cell Phone Enter number: The third phone number of the witness. As used here, this is the cell phone number.
WITNESSES OR PASSENGERS Insured Aircraft Check the box (if applicable): Indicates if the witness was in the insured’s aircraft at the time of the incident or accident.
WITNESSES OR PASSENGERS Other Aircraft Check the box (if applicable): Indicates if the witness was in an aircraft other than the insured’s aircraft at the time of the incident or accident.
WITNESSES OR PASSENGERS Other Checkbox Enter text: Indicates the witness was in a location other than those listed. As used here, if “other”, enter the location in Other Location Details.
WITNESSES OR PASSENGERS Other Location Details Enter text: A description of the location of the witness if the witness was not in the insured’s vehicle or aircraft or other involved vehicle or aircraft at the time of the incident.
WITNESSES OR PASSENGERS # Enter number: The producer assigned number for the witness.
Section Name Field Name Field and/or Section Description
WITNESSES OR PASSENGERS Name & Address Enter text: The name of a person that was a witness to the incident or an uninjured passenger.
WITNESSES OR PASSENGERS Enter text: The first address line of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter text: The second address line of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter text: The city of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter code: The state or province code of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter code: The postal code of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Home Phone Enter number: The primary phone number of a person that was a witness to the incident. As used here, this is the home phone number.
WITNESSES OR PASSENGERS Business Phone Enter number: The secondary phone number of the witness. As used here, this is the business phone number.
WITNESSES OR PASSENGERS Cell Phone Enter number: The third phone number of the witness. As used here, this is the cell phone number.
WITNESSES OR PASSENGERS Insured Aircraft Check the box (if applicable): Indicates if the witness was in the insured’s aircraft at the time of the incident or accident.
WITNESSES OR PASSENGERS Other Aircraft Check the box (if applicable): Indicates if the witness was in an aircraft other than the insured’s aircraft at the time of the incident or accident.
WITNESSES OR PASSENGERS Other Checkbox Enter text: Indicates the witness was in a location other than those listed. As used here, if “other”, enter the location in Other Location Details.
WITNESSES OR PASSENGERS Other Location Details Enter text: A description of the location of the witness if the witness was not in the insured’s vehicle or aircraft or other involved vehicle or aircraft at the time of the incident.
WITNESSES OR PASSENGERS # Enter number: The producer assigned number for the witness.
WITNESSES OR PASSENGERS Name & Address Enter text: The name of a person that was a witness to the incident or an uninjured passenger.
WITNESSES OR PASSENGERS Enter text: The first address line of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter text: The second address line of a person that was a witness to the incident.
Section Name Field Name Field and/or Section Description
WITNESSES OR PASSENGERS Enter text: The city of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter code: The state or province code of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter code: The postal code of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Home Phone Enter number: The primary phone number of a person that was a witness to the incident. As used here, this is the home phone number.
WITNESSES OR PASSENGERS Business Phone Enter number: The secondary phone number of the witness. As used here, this is the business phone number.
WITNESSES OR PASSENGERS Cell Phone Enter number: The third phone number of the witness. As used here, this is the cell phone number.
WITNESSES OR PASSENGERS Insured Aircraft Check the box (if applicable): Indicates if the witness was in the insured’s aircraft at the time of the incident or accident.
WITNESSES OR PASSENGERS Other Aircraft Check the box (if applicable): Indicates if the witness was in an aircraft other than the insured’s aircraft at the time of the incident or accident.
WITNESSES OR PASSENGERS Other Checkbox Enter text: Indicates the witness was in a location other than those listed. As used here, if “other”, enter the location in Other Location Details.
WITNESSES OR PASSENGERS Other Location Details Enter text: A description of the location of the witness if the witness was not in the insured’s vehicle or aircraft or other involved vehicle or aircraft at the time of the incident.
WITNESSES OR PASSENGERS # Enter number: The producer assigned number for the witness.
WITNESSES OR PASSENGERS Name & Address Enter text: The name of a person that was a witness to the incident or an uninjured passenger.
WITNESSES OR PASSENGERS Enter text: The first address line of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter text: The second address line of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter text: The city of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter code: The state or province code of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter code: The postal code of a person that was a witness to the incident.
Section Name Field Name Field and/or Section Description
WITNESSES OR PASSENGERS Home Phone Enter number: The primary phone number of a person that was a witness to the incident. As used here, this is the home phone number.
WITNESSES OR PASSENGERS Business Phone Enter number: The secondary phone number of the witness. As used here, this is the business phone number.
WITNESSES OR PASSENGERS Cell Phone Enter number: The third phone number of the witness. As used here, this is the cell phone number.
WITNESSES OR PASSENGERS Insured Aircraft Check the box (if applicable): Indicates if the witness was in the insured’s aircraft at the time of the incident or accident.
WITNESSES OR PASSENGERS Other Aircraft Check the box (if applicable): Indicates if the witness was in an aircraft other than the insured’s aircraft at the time of the incident or accident.
WITNESSES OR PASSENGERS Other Checkbox Enter text: Indicates the witness was in a location other than those listed. As used here, if “other”, enter the location in Other Location Details.
WITNESSES OR PASSENGERS Other Location Details Enter text: A description of the location of the witness if the witness was not in the insured’s vehicle or aircraft or other involved vehicle or aircraft at the time of the incident.
WITNESSES OR PASSENGERS # Enter number: The producer assigned number for the witness.
WITNESSES OR PASSENGERS Name & Address Enter text: The name of a person that was a witness to the incident or an uninjured passenger.
WITNESSES OR PASSENGERS Enter text: The first address line of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter text: The second address line of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter text: The city of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter code: The state or province code of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter code: The postal code of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Home Phone Enter number: The primary phone number of a person that was a witness to the incident. As used here, this is the home phone number.
WITNESSES OR PASSENGERS Business Phone Enter number: The secondary phone number of the witness. As used here, this is the business phone number.
WITNESSES OR PASSENGERS Cell Phone Enter number: The third phone number of the witness. As used here, this is the cell phone number.
Section Name Field Name Field and/or Section Description
WITNESSES OR PASSENGERS Insured Aircraft Check the box (if applicable): Indicates if the witness was in the insured’s aircraft at the time of the incident or accident.
WITNESSES OR PASSENGERS Other Aircraft Check the box (if applicable): Indicates if the witness was in an aircraft other than the insured’s aircraft at the time of the incident or accident.
WITNESSES OR PASSENGERS Other Checkbox Enter text: Indicates the witness was in a location other than those listed. As used here, if “other”, enter the location in Other Location Details.
WITNESSES OR PASSENGERS Other Location Details Enter text: A description of the location of the witness if the witness was not in the insured’s vehicle or aircraft or other involved vehicle or aircraft at the time of the incident.
WITNESSES OR PASSENGERS # Enter number: The producer assigned number for the witness.
WITNESSES OR PASSENGERS Name & Address Enter text: The name of a person that was a witness to the incident or an uninjured passenger.
WITNESSES OR PASSENGERS Enter text: The first address line of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter text: The second address line of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter text: The city of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter code: The state or province code of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter code: The postal code of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Home Phone Enter number: The primary phone number of a person that was a witness to the incident. As used here, this is the home phone number.
WITNESSES OR PASSENGERS Business Phone Enter number: The secondary phone number of the witness. As used here, this is the business phone number.
WITNESSES OR PASSENGERS Cell Phone Enter number: The third phone number of the witness. As used here, this is the cell phone number.
WITNESSES OR PASSENGERS Insured Aircraft Check the box (if applicable): Indicates if the witness was in the insured’s aircraft at the time of the incident or accident.
WITNESSES OR PASSENGERS Other Aircraft Check the box (if applicable): Indicates if the witness was in an aircraft other than the insured’s aircraft at the time of the incident or accident.
WITNESSES OR PASSENGERS Other Checkbox Enter text: Indicates the witness was in a location other than those listed. As used here, if “other”, enter the location in Other Location Details.
Section Name Field Name Field and/or Section Description
WITNESSES OR PASSENGERS Other Location Details Enter text: A description of the location of the witness if the witness was not in the insured’s vehicle or aircraft or other involved vehicle or aircraft at the time of the incident.
WITNESSES OR PASSENGERS # Enter number: The producer assigned number for the witness.
WITNESSES OR PASSENGERS Name & Address Enter text: The name of a person that was a witness to the incident or an uninjured passenger.
WITNESSES OR PASSENGERS Enter text: The first address line of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter text: The second address line of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter text: The city of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter code: The state or province code of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter code: The postal code of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Home Phone Enter number: The primary phone number of a person that was a witness to the incident. As used here, this is the home phone number.
WITNESSES OR PASSENGERS Business Phone Enter number: The secondary phone number of the witness. As used here, this is the business phone number.
WITNESSES OR PASSENGERS Cell Phone Enter number: The third phone number of the witness. As used here, this is the cell phone number.
WITNESSES OR PASSENGERS Insured Aircraft Check the box (if applicable): Indicates if the witness was in the insured’s aircraft at the time of the incident or accident.
WITNESSES OR PASSENGERS Other Aircraft Check the box (if applicable): Indicates if the witness was in an aircraft other than the insured’s aircraft at the time of the incident or accident.
WITNESSES OR PASSENGERS Other Checkbox Enter text: Indicates the witness was in a location other than those listed. As used here, if “other”, enter the location in Other Location Details.
WITNESSES OR PASSENGERS Other Location Details Enter text: A description of the location of the witness if the witness was not in the insured’s vehicle or aircraft or other involved vehicle or aircraft at the time of the incident.
WITNESSES OR PASSENGERS # Enter number: The producer assigned number for the witness.
WITNESSES OR PASSENGERS Name & Address Enter text: The name of a person that was a witness to the incident or an uninjured passenger.
Section Name Field Name Field and/or Section Description
WITNESSES OR PASSENGERS Enter text: The first address line of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter text: The second address line of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter text: The city of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter code: The state or province code of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter code: The postal code of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Home Phone Enter number: The primary phone number of a person that was a witness to the incident. As used here, this is the home phone number.
WITNESSES OR PASSENGERS Business Phone Enter number: The secondary phone number of the witness. As used here, this is the business phone number.
WITNESSES OR PASSENGERS Cell Phone Enter number: The third phone number of the witness. As used here, this is the cell phone number.
WITNESSES OR PASSENGERS Insured Aircraft Check the box (if applicable): Indicates if the witness was in the insured’s aircraft at the time of the incident or accident.
WITNESSES OR PASSENGERS Other Aircraft Check the box (if applicable): Indicates if the witness was in an aircraft other than the insured’s aircraft at the time of the incident or accident.
WITNESSES OR PASSENGERS Other Checkbox Enter text: Indicates the witness was in a location other than those listed. As used here, if “other”, enter the location in Other Location Details.
WITNESSES OR PASSENGERS Other Location Details Enter text: A description of the location of the witness if the witness was not in the insured’s vehicle or aircraft or other involved vehicle or aircraft at the time of the incident.
WITNESSES OR PASSENGERS # Enter number: The producer assigned number for the witness.
WITNESSES OR PASSENGERS Name & Address Enter text: The name of a person that was a witness to the incident or an uninjured passenger.
WITNESSES OR PASSENGERS Enter text: The first address line of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter text: The second address line of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter text: The city of a person that was a witness to the incident.
Section Name Field Name Field and/or Section Description
WITNESSES OR PASSENGERS Enter code: The state or province code of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter code: The postal code of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Home Phone Enter number: The primary phone number of a person that was a witness to the incident. As used here, this is the home phone number.
WITNESSES OR PASSENGERS Business Phone Enter number: The secondary phone number of the witness. As used here, this is the business phone number.
WITNESSES OR PASSENGERS Cell Phone Enter number: The third phone number of the witness. As used here, this is the cell phone number.
WITNESSES OR PASSENGERS Insured Aircraft Check the box (if applicable): Indicates if the witness was in the insured’s aircraft at the time of the incident or accident.
WITNESSES OR PASSENGERS Other Aircraft Check the box (if applicable): Indicates if the witness was in an aircraft other than the insured’s aircraft at the time of the incident or accident.
WITNESSES OR PASSENGERS Other Checkbox Enter text: Indicates the witness was in a location other than those listed. As used here, if “other”, enter the location in Other Location Details.
WITNESSES OR PASSENGERS Other Location Details Enter text: A description of the location of the witness if the witness was not in the insured’s vehicle or aircraft or other involved vehicle or aircraft at the time of the incident.
WITNESSES OR PASSENGERS # Enter number: The producer assigned number for the witness.
WITNESSES OR PASSENGERS Name & Address Enter text: The name of a person that was a witness to the incident or an uninjured passenger.
WITNESSES OR PASSENGERS Enter text: The first address line of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter text: The second address line of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter text: The city of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter code: The state or province code of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter code: The postal code of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Home Phone Enter number: The primary phone number of a person that was a witness to the incident. As used here, this is the home phone number.
Section Name Field Name Field and/or Section Description
WITNESSES OR PASSENGERS Business Phone Enter number: The secondary phone number of the witness. As used here, this is the business phone number.
WITNESSES OR PASSENGERS Cell Phone Enter number: The third phone number of the witness. As used here, this is the cell phone number.
WITNESSES OR PASSENGERS Insured Aircraft Check the box (if applicable): Indicates if the witness was in the insured’s aircraft at the time of the incident or accident.
WITNESSES OR PASSENGERS Other Aircraft Check the box (if applicable): Indicates if the witness was in an aircraft other than the insured’s aircraft at the time of the incident or accident.
WITNESSES OR PASSENGERS Other Checkbox Enter text: Indicates the witness was in a location other than those listed. As used here, if “other”, enter the location in Other Location Details.
WITNESSES OR PASSENGERS Other Location Details Enter text: A description of the location of the witness if the witness was not in the insured’s vehicle or aircraft or other involved vehicle or aircraft at the time of the incident.
WITNESSES OR PASSENGERS # Enter number: The producer assigned number for the witness.
WITNESSES OR PASSENGERS Name & Address Enter text: The name of a person that was a witness to the incident or an uninjured passenger.
WITNESSES OR PASSENGERS Enter text: The first address line of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter text: The second address line of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter text: The city of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter code: The state or province code of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter code: The postal code of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Home Phone Enter number: The primary phone number of a person that was a witness to the incident. As used here, this is the home phone number.
WITNESSES OR PASSENGERS Business Phone Enter number: The secondary phone number of the witness. As used here, this is the business phone number.
WITNESSES OR PASSENGERS Cell Phone Enter number: The third phone number of the witness. As used here, this is the cell phone number.
WITNESSES OR PASSENGERS Insured Aircraft Check the box (if applicable): Indicates if the witness was in the insured’s aircraft at the time of the incident or accident.
Section Name Field Name Field and/or Section Description
WITNESSES OR PASSENGERS Other Aircraft Check the box (if applicable): Indicates if the witness was in an aircraft other than the insured’s aircraft at the time of the incident or accident.
WITNESSES OR PASSENGERS Other Checkbox Enter text: Indicates the witness was in a location other than those listed. As used here, if “other”, enter the location in Other Location Details.
WITNESSES OR PASSENGERS Other Location Details Enter text: A description of the location of the witness if the witness was not in the insured’s vehicle or aircraft or other involved vehicle or aircraft at the time of the incident.
WITNESSES OR PASSENGERS # Enter number: The producer assigned number for the witness.
WITNESSES OR PASSENGERS Name & Address Enter text: The name of a person that was a witness to the incident or an uninjured passenger.
WITNESSES OR PASSENGERS Enter text: The first address line of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter text: The second address line of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter text: The city of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter code: The state or province code of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter code: The postal code of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Home Phone Enter number: The primary phone number of a person that was a witness to the incident. As used here, this is the home phone number.
WITNESSES OR PASSENGERS Business Phone Enter number: The secondary phone number of the witness. As used here, this is the business phone number.
WITNESSES OR PASSENGERS Cell Phone Enter number: The third phone number of the witness. As used here, this is the cell phone number.
WITNESSES OR PASSENGERS Insured Aircraft Check the box (if applicable): Indicates if the witness was in the insured’s aircraft at the time of the incident or accident.
WITNESSES OR PASSENGERS Other Aircraft Check the box (if applicable): Indicates if the witness was in an aircraft other than the insured’s aircraft at the time of the incident or accident.
WITNESSES OR PASSENGERS Other Checkbox Enter text: Indicates the witness was in a location other than those listed. As used here, if “other”, enter the location in Other Location Details.
WITNESSES OR PASSENGERS Other Location Details Enter text: A description of the location of the witness if the witness was not in the insured’s vehicle or aircraft or other involved vehicle or aircraft at the time of the incident.
Section Name Field Name Field and/or Section Description
WITNESSES OR PASSENGERS # Enter number: The producer assigned number for the witness.
WITNESSES OR PASSENGERS Name & Address Enter text: The name of a person that was a witness to the incident or an uninjured passenger.
WITNESSES OR PASSENGERS Enter text: The first address line of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter text: The second address line of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter text: The city of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter code: The state or province code of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter code: The postal code of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Home Phone Enter number: The primary phone number of a person that was a witness to the incident. As used here, this is the home phone number.
WITNESSES OR PASSENGERS Business Phone Enter number: The secondary phone number of the witness. As used here, this is the business phone number.
WITNESSES OR PASSENGERS Cell Phone Enter number: The third phone number of the witness. As used here, this is the cell phone number.
WITNESSES OR PASSENGERS Insured Aircraft Check the box (if applicable): Indicates if the witness was in the insured’s aircraft at the time of the incident or accident.
WITNESSES OR PASSENGERS Other Aircraft Check the box (if applicable): Indicates if the witness was in an aircraft other than the insured’s aircraft at the time of the incident or accident.
WITNESSES OR PASSENGERS Other Checkbox Enter text: Indicates the witness was in a location other than those listed. As used here, if “other”, enter the location in Other Location Details.
WITNESSES OR PASSENGERS Other Location Details Enter text: A description of the location of the witness if the witness was not in the insured’s vehicle or aircraft or other involved vehicle or aircraft at the time of the incident.
WITNESSES OR PASSENGERS # Enter number: The producer assigned number for the witness.
WITNESSES OR PASSENGERS Name & Address Enter text: The name of a person that was a witness to the incident or an uninjured passenger.
WITNESSES OR PASSENGERS Enter text: The first address line of a person that was a witness to the incident.
Section Name Field Name Field and/or Section Description
WITNESSES OR PASSENGERS Enter text: The second address line of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter text: The city of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter code: The state or province code of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Enter code: The postal code of a person that was a witness to the incident.
WITNESSES OR PASSENGERS Home Phone Enter number: The primary phone number of a person that was a witness to the incident. As used here, this is the home phone number.
WITNESSES OR PASSENGERS Business Phone Enter number: The secondary phone number of the witness. As used here, this is the business phone number.
WITNESSES OR PASSENGERS Cell Phone Enter number: The third phone number of the witness. As used here, this is the cell phone number.
WITNESSES OR PASSENGERS Insured Aircraft Check the box (if applicable): Indicates if the witness was in the insured’s aircraft at the time of the incident or accident.
WITNESSES OR PASSENGERS Other Aircraft Check the box (if applicable): Indicates if the witness was in an aircraft other than the insured’s aircraft at the time of the incident or accident.
WITNESSES OR PASSENGERS Other Checkbox Enter text: Indicates the witness was in a location other than those listed. As used here, if “other”, enter the location in Other Location Details.
WITNESSES OR PASSENGERS Other Location Details Enter text: A description of the location of the witness if the witness was not in the insured’s vehicle or aircraft or other involved vehicle or aircraft at the time of the incident.
Edition Date The edition identifier of the form including the form number and edition (the date is typically formatted YYYY/MM).