ACORD 61CO Instructions


Section Name Field Name Field and/or Section Description
TITLE ACORD 61 CO (2009/02) Colorado Auto Supplement The title of the form. ACORD 61, Colorado Auto Supplement, Colorado Private Passenger Automobile InsuranceSummary Disclosure Form, is a basic guide to the major coverages and exclusions in your policy. It is only a general description and not a statement of contract or a policy of any kind. All coverage is subject to the terms, conditions, and exclusions of your policy and all applicable endorsements.
IDENTIFICATION Agency Customer ID Enter identifier: The customer’s identification number assigned by the producer (e.g. agency or brokerage).
IDENTIFICATION Agency Enter text: The full name of the producer/agency.
IDENTIFICATION Policy Number Enter identifier: The identifier assigned by the insurer to the policy, or submission, being referenced. If required for self-insurance, the self-insured license or contract number.
IDENTIFICATION Named Insured(s) Enter text: The named insured(s) as it/they will appear on the policy declarations page.
IDENTIFICATION Carrier Enter text: The insurer’s full legal company name(s) as found in thefile copy of the policy. This is not the insurer’s group name or trade name.
IDENTIFICATION NAIC Code Enter code: The identification code assigned to the insurer by the NAIC.
IDENTIFICATION Agency Customer ID Enter identifier: The customer’s identification number assigned by the producer (e.g. agency or brokerage).
IDENTIFICATION Agency Customer ID Enter identifier: The customer’s identification number assigned by the producer (e.g. agency or brokerage).
IDENTIFICATION Agency Customer ID Enter identifier: The customer’s identification number assigned by the producer (e.g. agency or brokerage).
Edition Date The edition identifier of the form including the form number and edition (the date is typically formatted YYYY/MM).