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Preview - Acord 50 WM Form
For use with ACORD 360 WM, four part perforated 32 lb. paper
INSURANCE IDENTIFICATION CARD
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(STATE) |
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COMPANY NUMBER |
COMPANY |
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COMMERCIAL |
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PERSONAL |
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POLICY NUMBER |
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EFFECTIVE DATE |
EXPIRATION DATE |
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YEAR |
MAKE/MODEL |
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VEHICLE IDENTIFICATION NUMBER |
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AGENCY/COMPANY ISSUING CARD |
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INSURED
SEE IMPORTANT NOTICE ON REVERSE SIDE
INSURANCE IDENTIFICATION CARD
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(STATE) |
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COMPANY NUMBER |
COMPANY |
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COMMERCIAL |
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PERSONAL |
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POLICY NUMBER |
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EFFECTIVE DATE |
EXPIRATION DATE |
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YEAR |
MAKE/MODEL |
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VEHICLE IDENTIFICATION NUMBER |
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AGENCY/COMPANY ISSUING CARD |
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INSURED
SEE IMPORTANT NOTICE ON REVERSE SIDE
INSURANCE IDENTIFICATION CARD
|
(STATE) |
|
|
|
|
|
|
COMPANY NUMBER |
COMPANY |
|
|
COMMERCIAL |
|
PERSONAL |
|
POLICY NUMBER |
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EFFECTIVE DATE |
EXPIRATION DATE |
|||
YEAR |
MAKE/MODEL |
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VEHICLE IDENTIFICATION NUMBER |
||||
AGENCY/COMPANY ISSUING CARD |
|
|
|
|
|
||
INSURED
SEE IMPORTANT NOTICE ON REVERSE SIDE
INSURANCE IDENTIFICATION CARD
|
(STATE) |
|
|
|
|
|
|
COMPANY NUMBER |
COMPANY |
|
|
COMMERCIAL |
|
PERSONAL |
|
POLICY NUMBER |
|
|
EFFECTIVE DATE |
EXPIRATION DATE |
|||
YEAR |
MAKE/MODEL |
|
VEHICLE IDENTIFICATION NUMBER |
||||
AGENCY/COMPANY ISSUING CARD |
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|
|
|
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||
INSURED
SEE IMPORTANT NOTICE ON REVERSE SIDE
THIS CARD MUST BE KEPT IN THE INSURED
VEHICLE AND PRESENTED UPON DEMAND
IN CASE OF ACCIDENT: Report all accidents to your Agent/Company as soon as possible. Obtain the following information:
1.Name and address of each driver, passenger and witness.
2.Name of Insurance Company and policy number for each vehicle involved.
THE FRONT OF THIS DOCUMENT CONTAINS AN ARTIFICIAL WATERMARK - HOLD AT AN ANGLE TO VIEW
ACORD 50 WM (2007/03) |
© ACORD CORPORATION |
THIS CARD MUST BE KEPT IN THE INSURED
VEHICLE AND PRESENTED UPON DEMAND
IN CASE OF ACCIDENT: Report all accidents to your Agent/Company as soon as possible. Obtain the following information:
1.Name and address of each driver, passenger and witness.
2.Name of Insurance Company and policy number for each vehicle involved.
THE FRONT OF THIS DOCUMENT CONTAINS AN ARTIFICIAL WATERMARK - HOLD AT AN ANGLE TO VIEW
ACORD 50 WM (2007/03) |
© ACORD CORPORATION |
THIS CARD MUST BE KEPT IN THE INSURED
VEHICLE AND PRESENTED UPON DEMAND
IN CASE OF ACCIDENT: Report all accidents to your Agent/Company as soon as possible. Obtain the following information:
1.Name and address of each driver, passenger and witness.
2.Name of Insurance Company and policy number for each vehicle involved.
THE FRONT OF THIS DOCUMENT CONTAINS AN ARTIFICIAL WATERMARK - HOLD AT AN ANGLE TO VIEW
ACORD 50 WM (2007/03) |
© ACORD CORPORATION |
THIS CARD MUST BE KEPT IN THE INSURED
VEHICLE AND PRESENTED UPON DEMAND
IN CASE OF ACCIDENT: Report all accidents to your Agent/Company as soon as possible. Obtain the following information:
1.Name and address of each driver, passenger and witness.
2.Name of Insurance Company and policy number for each vehicle involved.
THE FRONT OF THIS DOCUMENT CONTAINS AN ARTIFICIAL WATERMARK - HOLD AT AN ANGLE TO VIEW
ACORD 50 WM (2007/03) |
© ACORD CORPORATION |
Common PDF Forms
Miscellaneous Information - Contractors and freelancers typically receive this form as a record of payments made to them by clients.
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Similar forms
The Acord 50 WM form is commonly used in the insurance industry, specifically for workers' compensation. Here are nine other documents that are similar to the Acord 50 WM form:
- Acord 25: This is the standard application for property and casualty insurance. Like the Acord 50 WM, it collects essential information about the insured and the coverage needed.
- Acord 130: This form is used for commercial auto insurance. It shares similarities in the way it gathers details about the insured vehicle and the driver, similar to how the Acord 50 WM collects information about employees.
- Acord 27: This is a certificate of liability insurance. It serves a similar purpose in documenting coverage, just as the Acord 50 WM does for workers' compensation coverage.
- Acord 126: This is a commercial general liability application. It asks for details about the business, much like the Acord 50 WM requires information about the workforce.
- Acord 45: This is a property insurance application. It collects data regarding the property to be insured, akin to how the Acord 50 WM collects details about the employees and their roles.
- Acord 2: This form is used for personal auto insurance. It gathers personal information from the insured, similar to the Acord 50 WM's focus on employee information.
- Acord 140: This is an application for commercial property insurance. It captures essential details about the property being insured, paralleling the employee details in the Acord 50 WM.
Motor Vehicle Power of Attorney: This essential document allows an individual to delegate authority for managing motor vehicle transactions. For detailed assistance in completing this form, refer to this guide.
- Acord 51: This is a workers' compensation application for small businesses. It is similar in its focus on employee details and coverage needs.
- Acord 55: This form is used for excess liability insurance. It collects information about the insured’s existing coverage, similar to how the Acord 50 WM assesses workers' compensation needs.