ACORD 851MD Instructions


Section Name Field Name Field and/or Section Description
TITLE ACORD 830 (2008/11) Property Insurance Card ACORD 830, Property Insurance Card, may be used by agents in areas of the country prone to catastrophes such as floods, hurricanes, earthquakes and tornados, to provide property insureds with a record of property insurance that can be carried in a wallet or purse. The form can contain enoughinformation about insurance carriers and policy coverage to allow an insured to contact their carriers when they do not have access to actualpolicies.
IDENTIFICATION SECTION Agency / Company Issuing Card Enter the Agency / Company’s name and address.
IDENTIFICATION SECTION Insured(s) Insured(s) name and address as they appear on the policy declarations page.
INSURERS AFFORDING COVERAGE Insurance CarrierProperty Enter only full legal company name as found in the file copy of the basic property policy. Do not enter group or trade names.
INSURERS AFFORDING COVERAGE Insurance Carrier Flood Enter only full legal company name as found in the file copy of the flood policy. Do not enter group or trade names.
INSURERS AFFORDING COVERAGE Insurance Carrier Wind Enter only full legal company name as found in the file copy of the wind only policy. Do not enter group or trade names.
INSURERS AFFORDING COVERAGE Policy Number Property Number exactly as it appears on the policy, including prefix and suffix symbols.
INSURERS AFFORDING COVERAGE Policy Number Flood Number exactly as it appears on the policy, including prefix and suffix symbols.
INSURERS AFFORDING COVERAGE Policy Number Wind Number exactly as it appears on the policy, including prefix and suffix symbols.
INSURERS AFFORDING COVERAGE Effective Date Property Date on which the terms and conditions of the policy commence.
INSURERS AFFORDING COVERAGE Effective Date Flood Date on which the terms and conditions of the policy commence.
INSURERS AFFORDING COVERAGE Effective Date Wind Date on which the terms and conditions of the policy commence.
INSURERS AFFORDING COVERAGE Expiration Date Property Date on which the terms and conditions of the policy expires.
COVERAGE INFORMATION Expiration Date Flood Date on which the terms and conditions of the policy expires.
COVERAGE INFORMATION Expiration Date Wind Date on which the terms and conditions of the policy expires.
COVERAGE INFORMATION Building Limit Property Amount All limits should be listed as whole dollar amounts. Enter limits corresponding to those found on the policy declarations page. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Building Limit Flood Amount All limits should be listed as whole dollar amounts. Enter limits corresponding to those found on the policy declarations page. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Building Limit Wind Amount All limits should be listed as whole dollar amounts. Enter limits corresponding to those found on the policy declarations page. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Contents Property Amount All limits should be listed as whole dollar amounts. Enter limits corresponding to those found on the policy declarations page. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Contents Flood Amount All limits should be listed as whole dollar amounts. Enter limits corresponding to those found on the policy declarations page. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Contents Wind Amount All limits should be listed as whole dollar amounts. Enter limits corresponding to those found on the policy declarations page. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Deductible Property Amount Enter the property deductible amount if the deductible is expressed as a dollar amount.
COVERAGE INFORMATION Deductible Flood Amount Enter the flood deductible amount if the deductible is expressed as a dollar amount.
COVERAGE INFORMATION Deductible Wind Amount Enter the wind deductible amount if the deductible is expressed as a dollar amount.
COVERAGE INFORMATION Wind Deductible Property Percentage
COVERAGE INFORMATION Wind Deductible Wind Percentage
IDENTIFICATION SECTION Agency / Company Issuing Card Enter the Agency / Company’s name and address.
IDENTIFICATION SECTION Insured(s) Insured(s) name and address as they appear on the policy declarations page.
INSURERS AFFORDING COVERAGE Insurance Carrier Property Enter only full legal company name as found in the file copy of the basic property policy. Do not enter group or trade names.
INSURERS AFFORDING COVERAGE Insurance Carrier Flood Enter only full legal company name as found in the file copy of the flood policy. Do not enter group or trade names.
INSURERS AFFORDING COVERAGE Insurance Carrier Wind Enter only full legal company name as found in the file copy of the wind only policy. Do not enter group or trade names.
INSURERS AFFORDING COVERAGE Policy Number Property Number exactly as it appears on the policy, including prefix and suffix symbols.
INSURERS AFFORDING COVERAGE Policy Number Flood Number exactly as it appears on the policy, including prefix and suffix symbols.
INSURERS AFFORDING COVERAGE Policy Number Wind Number exactly as it appears on the policy, including prefix and suffix symbols.
INSURERS AFFORDING COVERAGE Effective Date Property Date on which the terms and conditions of the policy commence.
INSURERS AFFORDING COVERAGE Effective Date Flood Date on which the terms and conditions of the policy commence.
INSURERS AFFORDING COVERAGE Effective Date Wind Date on which the terms and conditions of the policy commence.
INSURERS AFFORDING COVERAGE Expiration Date Property Date on which the terms and conditions of the policy expires.
COVERAGE INFORMATION Expiration Date Flood Date on which the terms and conditions of the policy expires.
COVERAGE INFORMATION Expiration Date Wind Date on which the terms and conditions of the policy expires.
COVERAGE INFORMATION Building Limit Property Amount All limits should be listed as whole dollar amounts. Enter limits corresponding to those found on the policy declarations page. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Building Limit Flood Amount All limits should be listed as whole dollar amounts. Enter limits corresponding to those found on the policy declarations page. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Building Limit Wind Amount All limits should be listed as whole dollar amounts. Enter limits corresponding to those found on the policy declarations page. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Contents Property Amount All limits should be listed as whole dollar amounts. Enter limits corresponding to those found on the policy declarations page. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Contents Flood Amount All limits should be listed as whole dollar amounts. Enter limits corresponding to those found on the policy declarations page. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Contents Wind Amount All limits should be listed as whole dollar amounts. Enter limits corresponding to those found on the policy declarations page. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Deductible Property Amount Enter the property deductible amount if the deductible is expressed as a dollar amount.
COVERAGE INFORMATION Deductible Flood Amount Enter the flood deductible amount if the deductible is expressed as a dollar amount.
COVERAGE INFORMATION Deductible Wind Amount Enter the wind deductible amount if the deductible is expressed as a dollar amount.
COVERAGE INFORMATION Wind Deductible Property Percentage Enter the property wind percentage deductible if the deductible is expressed as a percentage.
COVERAGE INFORMATION Wind Deductible Wind Percentage Enter the wind percentage deductible if the deductible is expressed as a percentage.
IDENTIFICATION SECTION Agency / Company Issuing Card Enter the Agency / Company’s name and address.
IDENTIFICATION SECTION Insured(s) Insured(s) name and address as they appear on the policy declarations page.
INSURERS AFFORDING COVERAGE Insurance Carrier Property Enter only full legal company name as found in the file copy of the basic property policy. Do not enter group or trade names.
INSURERS AFFORDING COVERAGE Insurance Carrier Flood Enter only full legal company name as found in the file copy of the flood policy. Do not enter group or trade names.
INSURERS AFFORDING COVERAGE Insurance Carrier Wind Enter only full legal company name as found in the file copy of the wind only policy. Do not enter group or trade names.
INSURERS AFFORDING COVERAGE Policy Number Property Number exactly as it appears on the policy, including prefix and suffix symbols.
INSURERS AFFORDING COVERAGE Policy Number Flood Number exactly as it appears on the policy, including prefix and suffix symbols.
INSURERS AFFORDING COVERAGE Policy Number Wind Number exactly as it appears on the policy, including prefix and suffix symbols.
INSURERS AFFORDING COVERAGE Effective Date Property Date on which the terms and conditions of the policy commence.
INSURERS AFFORDING COVERAGE Effective Date Flood Date on which the terms and conditions of the policy commence.
INSURERS AFFORDING COVERAGE Effective Date Wind Date on which the terms and conditions of the policy commence.
INSURERS AFFORDING COVERAGE Expiration Date Property Date on which the terms and conditions of the policy expires.
COVERAGE INFORMATION Expiration Date Flood Date on which the terms and conditions of the policy expires.
COVERAGE INFORMATION Expiration Date Wind Date on which the terms and conditions of the policy expires.
COVERAGE INFORMATION Building Limit Property Amount All limits should be listed as whole dollar amounts. Enter limits corresponding to those found on the policy declarations page. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Building Limit Flood Amount All limits should be listed as whole dollar amounts. Enter limits corresponding to those found on the policy declarations page. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Building Limit Wind Amount All limits should be listed as whole dollar amounts. Enter limits corresponding to those found on the policy declarations page. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Contents Property Amount All limits should be listed as whole dollar amounts. Enter limits corresponding to those found on the policy declarations page. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Contents Flood Amount All limits should be listed as whole dollar amounts. Enter limits corresponding to those found on the policy declarations page. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Contents Wind Amount All limits should be listed as whole dollar amounts. Enter limits corresponding to those found on the policy declarations page. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Deductible Property Amount Enter the property deductible amount if the deductible is expressed as a dollar amount.
COVERAGE INFORMATION Deductible Flood Amount Enter the flood deductible amount if the deductible is expressed as a dollar amount.
COVERAGE INFORMATION Deductible Wind Amount Enter the wind deductible amount if the deductible is expressed as a dollar amount.
COVERAGE INFORMATION Wind Deductible Property Percentage Enter the property wind percentage deductible if the deductible is expressed as a percentage.
COVERAGE INFORMATION Wind Deductible Wind Percentage Enter the wind percentage deductible if the deductible is expressed as a percentage.
IDENTIFICATION SECTION Agency / Company Issuing Card Enter the Agency / Company’s name and address.
IDENTIFICATION SECTION Insured(s) Insured(s) name and address as they appear on the policy declarations page.
INSURERS AFFORDING COVERAGE Insurance Carrier Property Enter only full legal company name as found in the file copy of the basic property policy. Do not enter group or trade names.
INSURERS AFFORDING COVERAGE Insurance Carrier Flood Enter only full legal company name as found in the file copy of the flood policy. Do not enter group or trade names.
INSURERS AFFORDING COVERAGE Insurance Carrier Wind Enter only full legal company name as found in the file copy of the wind only policy. Do not enter group or trade names.
INSURERS AFFORDING COVERAGE Policy Number Property Number exactly as it appears on the policy, including prefix and suffix symbols.
INSURERS AFFORDING COVERAGE Policy Number Flood Number exactly as it appears on the policy, including prefix and suffix symbols.
INSURERS AFFORDING COVERAGE Policy Number Wind Number exactly as it appears on the policy, including prefix and suffix symbols.
INSURERS AFFORDING COVERAGE Effective Date Property Date on which the terms and conditions of the policy commence.
INSURERS AFFORDING COVERAGE Effective Date Flood Date on which the terms and conditions of the policy commence.
INSURERS AFFORDING COVERAGE Effective Date Wind Date on which the terms and conditions of the policy commence.
INSURERS AFFORDING COVERAGE Expiration Date Property Date on which the terms and conditions of the policy expires.
COVERAGE INFORMATION Expiration Date Flood Date on which the terms and conditions of the policy expires.
COVERAGE INFORMATION Expiration Date Wind Date on which the terms and conditions of the policy expires.
COVERAGE INFORMATION Building Limit Property Amount All limits should be listed as whole dollar amounts. Enter limits corresponding to those found on the policy declarations page. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Building Limit Flood Amount All limits should be listed as whole dollar amounts. Enter limits corresponding to those found on the policy declarations page. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Building Limit Wind Amount All limits should be listed as whole dollar amounts. Enter limits corresponding to those found on the policy declarations page. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Contents Property Amount All limits should be listed as whole dollar amounts. Enter limits corresponding to those found on the policy declarations page. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Contents Flood Amount All limits should be listed as whole dollar amounts. Enter limits corresponding to those found on the policy declarations page. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Contents Wind Amount All limits should be listed as whole dollar amounts. Enter limits corresponding to those found on the policy declarations page. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Deductible Property Amount Enter the property deductible amount if the deductible is expressed as a dollar amount.
COVERAGE INFORMATION Deductible Flood Amount Enter the flood deductible amount if the deductible is expressed as a dollar amount.
COVERAGE INFORMATION Deductible Wind Amount Enter the wind deductible amount if the deductible is expressed as a dollar amount.
COVERAGE INFORMATION Wind Deductible Property Percentage Enter the property wind percentage deductible if the deductible is expressed as a percentage.
COVERAGE INFORMATION Wind Deductible Wind Percentage Enter the wind percentage deductible if the deductible is expressed as a percentage.
CONTACT INFORMATION Insurance Carrier Name Enter only full legal company name as found in the file copy of the policy. Do not enter group or trade names.
CONTACT INFORMATION Insurance Carrier Telephone Number Enter the insurance carrier’s telephone number. (Include area code and extension if applicable)
CONTACT INFORMATION Insurance Carrier Name Enter only full legal company name as found in the file copy of the policy. Do not enter group or trade names.
CONTACT INFORMATION Insurance Carrier Telephone Number Enter the insurance carrier’s telephone number. (Include area code and extension if applicable)
CONTACT INFORMATION Insurance Carrier Name Enter only full legal company name as found in the file copy of the policy. Do not enter group or trade names.
CONTACT INFORMATION Insurance Carrier Telephone Number Enter the insurance carrier’s telephone number. (Include area code and extension if applicable)
CONTACT INFORMATION Agency Name Agency name
CONTACT INFORMATION Insurance Agency Emergency Telephone Number Enter the insurance agency’s emergency telephone number. (Include area code and extension if applicable)
CONTACT INFORMATION Emergency Organization Name Enter the name of the emergency organization, e.g., FEMA, Red Cross.
CONTACT INFORMATION Emergency Organization Telephone Number Enter the telephone number of the emergency organization. (Include area code and extension if applicable)
CONTACT INFORMATION Emergency Organization Name Enter the name of the emergency organization, e.g., FEMA, Red Cross.
CONTACT INFORMATION Emergency Organization Telephone Number Enter the telephone number of the emergency organization. (Include area code and extension if applicable)
CONTACT INFORMATION Emergency Organization Name Enter the name of the emergency organization, e.g., FEMA, Red Cross.
CONTACT INFORMATION Emergency Organization Telephone Number Enter the telephone number of the emergency organization. (Include area code and extension if applicable)
CONTACT INFORMATION Emergency Organization Name Enter the name of the emergency organization, e.g., FEMA, Red Cross.
CONTACT INFORMATION Emergency Organization Telephone Number Enter the telephone number of the emergency organization. (Include area code and extension if applicable)
CONTACT INFORMATION Insurance Carrier Name Enter only full legal company name as found in the file copy of the policy. Do not enter group or trade names.
CONTACT INFORMATION Insurance Carrier Telephone Number Enter the insurance carrier’s telephone number. (Include area code and extension if applicable)
CONTACT INFORMATION Insurance Carrier Name Enter only full legal company name as found in the file copy of the policy. Do not enter group or trade names.
CONTACT INFORMATION Insurance Carrier Telephone Number Enter the insurance carrier’s telephone number. (Include area code and extension if applicable)
CONTACT INFORMATION Insurance Carrier Name Enter only full legal company name as found in the file copy of the policy. Do not enter group or trade names.
CONTACT INFORMATION Insurance Carrier Telephone Number Enter the insurance carrier’s telephone number. (Include area code and extension if applicable)
CONTACT INFORMATION Agency Name Agency name
CONTACT INFORMATION Agency Telephone Number Enter the insurance agency’s emergency telephone number. (Include area code and extension if applicable)
CONTACT INFORMATION Emergency Organization Name Enter the name of the emergency organization, e.g., FEMA, Red Cross.
CONTACT INFORMATION Emergency Organization Telephone Number Enter the telephone number of the emergency organization. (Include area code and extension if applicable)
CONTACT INFORMATION Emergency Organization Name Enter the name of the emergency organization, e.g., FEMA, Red Cross.
CONTACT INFORMATION Emergency Organization Telephone Number Enter the telephone number of the emergency organization. (Include area code and extension if applicable)
CONTACT INFORMATION Emergency Organization Name Enter the name of the emergency organization, e.g., FEMA, Red Cross.
CONTACT INFORMATION Emergency Organization Telephone Number Enter the telephone number of the emergency organization. (Include area code and extension if applicable)
CONTACT INFORMATION Emergency Organization Name Enter the name of the emergency organization, e.g., FEMA, Red Cross.
CONTACT INFORMATION Emergency Organization Telephone Number Enter the telephone number of the emergency organization. (Include area code and extension if applicable)
CONTACT INFORMATION Insurance Carrier Name Enter only full legal company name as found in the file copy of the policy. Do not enter group or trade names.
CONTACT INFORMATION Insurance Carrier Telephone Number Enter the insurance carrier’s telephone number. (Include area code and extension if applicable)
CONTACT INFORMATION Insurance Carrier Name Enter only full legal company name as found in the file copy of the policy. Do not enter group or trade names.
CONTACT INFORMATION Insurance Carrier Telephone Number Enter the insurance carrier’s telephone number. (Include area code and extension if applicable)
CONTACT INFORMATION Insurance Carrier Name Enter only full legal company name as found in the file copy of the policy. Do not enter group or trade names.
CONTACT INFORMATION Insurance Carrier Telephone Number Enter the insurance carrier’s telephone number. (Include area code and extension if applicable)
CONTACT INFORMATION Agency Name Agency name
CONTACT INFORMATION Agency Telephone Number Enter the insurance agency’s emergency telephone number. (Include area code and extension if applicable)
CONTACT INFORMATION Emergency Organization Name Enter the name of the emergency organization, e.g., FEMA, Red Cross.
CONTACT INFORMATION Emergency Organization Telephone Number Enter the telephone number of the emergency organization. (Include area code and extension if applicable)
CONTACT INFORMATION Emergency Organization Name Enter the name of the emergency organization, e.g., FEMA, Red Cross.
CONTACT INFORMATION Emergency Organization Telephone Number Enter the telephone number of the emergency organization. (Include area code and extension if applicable)
CONTACT INFORMATION Emergency Organization Name Enter the name of the emergency organization, e.g., FEMA, Red Cross.
CONTACT INFORMATION Emergency Organization Telephone Number Enter the telephone number of the emergency organization. (Include area code and extension if applicable)
CONTACT INFORMATION Emergency Organization Name Enter the name of the emergency organization, e.g., FEMA, Red Cross.
CONTACT INFORMATION Emergency Organization Telephone Number Enter the telephone number of the emergency organization. (Include area code and extension if applicable)
CONTACT INFORMATION Insurance Carrier Name Enter only full legal company name as found in the file copy of the policy. Do not enter group or trade names.
CONTACT INFORMATION Insurance Carrier Telephone Number Enter the insurance carrier’s telephone number. (Include area code and extension if applicable)
CONTACT INFORMATION Insurance Carrier Name Enter only full legal company name as found in the file copy of the policy. Do not enter group or trade names.
CONTACT INFORMATION Insurance Carrier Telephone Number Enter the insurance carrier’s telephone number. (Include area code and extension if applicable)
CONTACT INFORMATION Insurance Carrier Name Enter only full legal company name as found in the file copy of the policy. Do not enter group or trade names.
CONTACT INFORMATION Insurance Carrier Telephone Number Enter the insurance carrier’s telephone number. (Include area code and extension if applicable)
CONTACT INFORMATION Agency Name Agency name
CONTACT INFORMATION Agency Telephone Number Enter the insurance agency’s emergency telephone number. (Include area code and extension if applicable)
CONTACT INFORMATION Emergency Organization Name Enter the name of the emergency organization, e.g., FEMA, Red Cross.
CONTACT INFORMATION Emergency Organization Telephone Number Enter the telephone number of the emergency organization. (Include area code and extension if applicable)
CONTACT INFORMATION Emergency Organization Name Enter the name of the emergency organization, e.g., FEMA, Red Cross.
CONTACT INFORMATION Emergency Organization Telephone Number Enter the telephone number of the emergency organization. (Include area code and extension if applicable)
CONTACT INFORMATION Emergency Organization Name Enter the name of the emergency organization, e.g., FEMA, Red Cross.
CONTACT INFORMATION Emergency Organization Telephone Number Enter the telephone number of the emergency organization. (Include area code and extension if applicable)
CONTACT INFORMATION Emergency Organization Name Enter the name of the emergency organization, e.g., FEMA, Red Cross.
CONTACT INFORMATION Emergency Organization Telephone Number Enter the telephone number of the emergency organization. (Include area code and extension if applicable)
Edition Date The edition identifier of the form including the form number and edition (the date is typically formatted YYYY/MM).