| 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). |