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Acord 50 WM Sample

For use with ACORD 360 WM, four part perforated 32 lb. paper

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

 

 

 

 

 

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

 

 

 

 

 

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

 

 

 

 

 

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

 

 

 

 

 

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 1993-2007. All rights reserved.

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 1993-2007. All rights reserved.

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 1993-2007. All rights reserved.

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 1993-2007. All rights reserved.

Instructions on Utilizing Acord 50 WM

Completing the Acord 50 WM form is an important step in your process. Follow these instructions carefully to ensure all necessary information is accurately provided.

  1. Begin by entering the name of the insured at the top of the form.
  2. Fill in the address of the insured, including city, state, and zip code.
  3. Provide the policy number associated with the insurance coverage.
  4. In the next section, indicate the type of coverage being requested.
  5. Complete the description of operations field, detailing what the business does.
  6. Enter the effective date of the policy.
  7. Fill in the expiration date of the policy.
  8. Provide information regarding additional insureds, if applicable.
  9. Sign and date the form at the bottom.

Once you have filled out the form, review all entries for accuracy. Ensure that all required fields are completed before submitting it. This will help avoid any delays in processing your request.

Misconceptions

The Acord 50 WM form is commonly used in the insurance industry, particularly for workers' compensation insurance. However, several misconceptions exist regarding its purpose and use. Below are four common misconceptions:

  • Misconception 1: The Acord 50 WM form is only for large businesses.
  • This form is applicable to businesses of all sizes. Small businesses also need to provide workers' compensation information, making the form relevant to them as well.

  • Misconception 2: The Acord 50 WM form is only necessary for new policies.
  • This form is required not just for new policies but also for renewals and changes in coverage. It ensures that all parties have up-to-date information.

  • Misconception 3: Completing the Acord 50 WM form guarantees coverage.
  • While the form provides necessary information for underwriting, it does not guarantee that coverage will be issued. Underwriters evaluate the details before making a decision.

  • Misconception 4: The Acord 50 WM form can be completed without accurate information.
  • Providing accurate and complete information is crucial. Inaccuracies can lead to delays in processing or even denial of coverage.

Documents used along the form

The Acord 50 WM form is a key document used in the insurance industry, particularly for workers' compensation insurance. However, several other forms and documents often accompany it to provide a comprehensive overview of coverage, risk management, and client information. Below is a list of these commonly used documents.

  • Acord 25: This is the standard application for business insurance. It collects essential details about the business, including its operations, location, and coverage needs.
  • Acord 27: This form serves as a certificate of liability insurance. It provides proof of insurance coverage to third parties and is often required in contractual agreements.
  • Motor Vehicle Bill of Sale Form: This legal document is essential for recording the sale of a vehicle between a seller and a buyer, ensuring all important details are captured. For more information, visit https://nypdfforms.com/motor-vehicle-bill-of-sale-form/.
  • Acord 130: This is a commercial property application. It gathers information about the property to assess the risk and determine the appropriate coverage.
  • Acord 131: This form is used for commercial auto insurance. It collects details about vehicles used in business operations and the drivers associated with them.
  • Acord 3: This is a general liability application. It helps insurers evaluate the risk associated with potential liability claims against the business.
  • Acord 140: This form is a workers' compensation application. It provides specific information about the business's workforce and their job functions.
  • Acord 2: This is a general application for insurance. It covers a broad range of insurance needs, allowing businesses to provide an overview of their operations.
  • Loss Runs: These documents detail a business's claims history. They are crucial for insurers to understand past losses and assess future risk.
  • Business Plan: A business plan outlines the company's goals, structure, and financial projections. It can help insurers understand the business's viability and risk profile.
  • Safety Program Documentation: This includes records of safety training and protocols. Insurers often review these to evaluate the risk management practices of a business.

Each of these documents plays a vital role in the insurance process. Together, they provide insurers with a clearer picture of the business, helping to ensure that appropriate coverage is in place. Understanding these forms can help businesses navigate the complexities of obtaining insurance more effectively.