The Association for Cooperative Operations Research and Development (ACORD) forms are standardized documents used by the insurance industry.

This form is one of several forms comprising the business auto policy.

This form can be machine printed or handwritten. If it is handwritten, TotalAgility must be configured to use full-page recognition using either Tungsten Clarity or Azure AI Document Intelligence.

This form starts on the first page and does not have any cover pages.

Supported versions: 2009/11

Supported fields on this form:

• Agency

• AgencyCustomerID

• Date

• Carrier

• NAICCode

• PolicyNumber

• EffectiveDate

• NameInsured

• VehicleDescription_VEH_1

• VehicleDescription_Year_1

• VehicleDescription_Make_1

• VehicleDescription_Model_1

• VehicleDescription_BodyType_1

• VehicleDescription_VIN_1

• VehicleDescription_VehicleType_PP_1

• VehicleDescription_VehicleType_SPEC_1

• VehicleDescription_VehicleType_COML_1

• VehicleDescription_SYMOrAGE_1

• VehicleDescription_COMPOrOTC_SYM_1

• VehicleDescription_COLL_SYM_1

• VehicleDescription_GaragingAddress_Street_1

• VehicleDescription_GaragingAddress_City_1

• VehicleDescription_GaragingAddress_County_1

• VehicleDescription_GaragingAddress_State_1

• VehicleDescription_GaragingAddress_Zip_1

• VehicleDescription_LICState_1

• VehicleDescription_TERR_1

• VehicleDescription_GVMOrGCW_1

• VehicleDescription_Class_1

• VehicleDescription_SIC_1

• VehicleDescription_Factor_1

• VehicleDescription_SeatCP_1

• VehicleDescription_Radius_1

• VehicleDescription_farthestTerminal_1

• VehicleDescription_CostNew_1

• VehicleDescription_Use_Pleasure_1

• VehicleDescription_Use_Farm_1

• VehicleDescription_Use_CommL_1

• VehicleDescription_Use_Retail_1

• VehicleDescription_Use_Service_1

• VehicleDescription_Use_ForHire_1

• VehicleDescription_Use_Other_Checkbox_1

• VehicleDescription_Use_Other_Testbox_1

• VehicleDescription_CheckCoverages_LIAB_1

• VehicleDescription_CheckCoverages_NoFault_1

• VehicleDescription_CheckCoverages_AddlNoFault_1

• VehicleDescription_CheckCoverages_MedPay_1

• VehicleDescription_CheckCoverages_UNINSMotor_1

• VehicleDescription_CheckCoverages_UNDRINSMotor_1

• VehicleDescription_CheckCoverages_TowingAndLabor_1

• VehicleDescription_CheckCoverages_SpecCOfL_1

• VehicleDescription_CheckCoverages_F_1

• VehicleDescription_CheckCoverages_FT_1

• VehicleDescription_CheckCoverages_FTW_1

• VehicleDescription_CheckCoverages_LSP_1

• VehicleDescription_CheckCoverages_COMPOrOTC_1

• VehicleDescription_CheckCoverages_COLL_1

• VehicleDescription_CheckCoverages_RentREIMB_1

• VehicleDescription_CheckCoverages_FG_1

• VehicleDescription_CheckCoverages_Other_Checkbox_1

• VehicleDescription_CheckCoverages_Other_Textbox_1

• VehicleDescription_Deductibles_AA_1

• VehicleDescription_Deductibles_ST_AMT_1

• VehicleDescription_Deductibles_ACV_1

• VehicleDescription_Deductibles_1

• VehicleDescription_COMPOrOTC_1

• VehicleDescription_SPECCOfL_1

• VehicleDescription_COMPOrOTCOrSPECCOfL_1

• VehicleDescription_COLL_1

• VehicleDescription_DriveToWorkOrSchool_below_15_Miles_1

• VehicleDescription_DriveToWorkOrSchool_Above_15_Miles_1

• VehicleDescription_NET_VEH_DROrCR_1

• VehicleDescription_TotalPrem_1

• VehicleDescription_VEH_2

• VehicleDescription_Year_2

• VehicleDescription_Make_2

• VehicleDescription_Model_2

• VehicleDescription_BodyType_2

• VehicleDescription_VIN_2

• VehicleDescription_VehicleType_PP_2

• VehicleDescription_VehicleType_SPEC_2

• VehicleDescription_VehicleType_COML_2

• VehicleDescription_SYMOrAGE_2

• VehicleDescription_COMPOrOTC_SYM_2

• VehicleDescription_COLL_SYM_2

• VehicleDescription_GaragingAddress_Street_2

• VehicleDescription_GaragingAddress_City_2

• VehicleDescription_GaragingAddress_County_2

• VehicleDescription_GaragingAddress_State_2

• VehicleDescription_GaragingAddress_Zip_2

• VehicleDescription_LICState_2

• VehicleDescription_TERR_2

• VehicleDescription_GVMOrGCW_2

• VehicleDescription_Class_2

• VehicleDescription_SIC_2

• VehicleDescription_Factor_2

• VehicleDescription_SeatCP_2

• VehicleDescription_Radius_2

• VehicleDescription_farthestTerminal_2

• VehicleDescription_CostNew_2

• VehicleDescription_Use_Pleasure_2

• VehicleDescription_Use_Farm_2

• VehicleDescription_Use_CommL_2

• VehicleDescription_Use_Retail_2

• VehicleDescription_Use_Service_2

• VehicleDescription_Use_ForHire_2

• VehicleDescription_Use_Other_Checkbox_2

• VehicleDescription_Use_Other_Testbox_2

• VehicleDescription_CheckCoverages_LIAB_2

• VehicleDescription_CheckCoverages_NoFault_2

• VehicleDescription_CheckCoverages_AddlNoFault_2

• VehicleDescription_CheckCoverages_MedPay_2

• VehicleDescription_CheckCoverages_UNINSMotor_2

• VehicleDescription_CheckCoverages_UNDRINSMotor_2

• VehicleDescription_CheckCoverages_TowingAndLabor_2

• VehicleDescription_CheckCoverages_SpecCOfL_2

• VehicleDescription_CheckCoverages_F_2

• VehicleDescription_CheckCoverages_FT_2

• VehicleDescription_CheckCoverages_FTW_2

• VehicleDescription_CheckCoverages_LSP_2

• VehicleDescription_CheckCoverages_COMPOrOTC_2

• VehicleDescription_CheckCoverages_COLL_2

• VehicleDescription_CheckCoverages_RentREIMB_2

• VehicleDescription_CheckCoverages_FG_2

• VehicleDescription_CheckCoverages_Other_Checkbox_2

• VehicleDescription_CheckCoverages_Other_Textbox_2

• VehicleDescription_Deductibles_AA_2

• VehicleDescription_Deductibles_ST_AMT_2

• VehicleDescription_Deductibles_ACV_2

• VehicleDescription_Deductibles_2

• VehicleDescription_COMPOrOTC_2

• VehicleDescription_SPECCOfL_2

• VehicleDescription_COMPOrOTCOrSPECCOfL_2

• VehicleDescription_COLL_2

• VehicleDescription_DriveToWorkOrSchool_below_25_Miles_2

• VehicleDescription_DriveToWorkOrSchool_Above_25_Miles_2

• VehicleDescription_NET_VEH_DROrCR_2

• VehicleDescription_TotalPrem_2

• VehicleDescription_VEH_3

• VehicleDescription_Year_3

• VehicleDescription_Make_3

• VehicleDescription_Model_3

• VehicleDescription_BodyType_3

• VehicleDescription_VIN_3

• VehicleDescription_VehicleType_PP_3

• VehicleDescription_VehicleType_SPEC_3

• VehicleDescription_VehicleType_COML_3

• VehicleDescription_SYMOrAGE_3

• VehicleDescription_COMPOrOTC_SYM_3

• VehicleDescription_COLL_SYM_3

• VehicleDescription_GaragingAddress_Street_3

• VehicleDescription_GaragingAddress_City_3

• VehicleDescription_GaragingAddress_County_3

• VehicleDescription_GaragingAddress_State_3

• VehicleDescription_GaragingAddress_Zip_3

• VehicleDescription_LICState_3

• VehicleDescription_TERR_3

• VehicleDescription_GVMOrGCW_3

• VehicleDescription_Class_3

• VehicleDescription_SIC_3

• VehicleDescription_Factor_3

• VehicleDescription_SeatCP_3

• VehicleDescription_Radius_3

• VehicleDescription_farthestTerminal_3

• VehicleDescription_CostNew_3

• VehicleDescription_Use_Pleasure_3

• VehicleDescription_Use_Farm_3

• VehicleDescription_Use_CommL_3

• VehicleDescription_Use_Retail_3

• VehicleDescription_Use_Service_3

• VehicleDescription_Use_ForHire_3

• VehicleDescription_Use_Other_Checkbox_3

• VehicleDescription_Use_Other_Testbox_3

• VehicleDescription_CheckCoverages_LIAB_3

• VehicleDescription_CheckCoverages_NoFault_3

• VehicleDescription_CheckCoverages_AddlNoFault_3

• VehicleDescription_CheckCoverages_MedPay_3

• VehicleDescription_CheckCoverages_UNINSMotor_3

• VehicleDescription_CheckCoverages_UNDRINSMotor_3

• VehicleDescription_CheckCoverages_TowingAndLabor_3

• VehicleDescription_CheckCoverages_SpecCOfL_3

• VehicleDescription_CheckCoverages_F_3

• VehicleDescription_CheckCoverages_FT_3

• VehicleDescription_CheckCoverages_FTW_3

• VehicleDescription_CheckCoverages_LSP_3

• VehicleDescription_CheckCoverages_COMPOrOTC_3

• VehicleDescription_CheckCoverages_COLL_3

• VehicleDescription_CheckCoverages_RentREIMB_3

• VehicleDescription_CheckCoverages_FG_3

• VehicleDescription_CheckCoverages_Other_Checkbox_3

• VehicleDescription_CheckCoverages_Other_Textbox_3

• VehicleDescription_Deductibles_AA_3

• VehicleDescription_Deductibles_ST_AMT_3

• VehicleDescription_Deductibles_ACV_3

• VehicleDescription_Deductibles_3

• VehicleDescription_COMPOrOTC_3

• VehicleDescription_SPECCOfL_3

• VehicleDescription_COMPOrOTCOrSPECCOfL_3

• VehicleDescription_COLL_3

• VehicleDescription_DriveToWorkOrSchool_below_35_Miles_3

• VehicleDescription_DriveToWorkOrSchool_Above_35_Miles_3

• VehicleDescription_NET_VEH_DROrCR_3

• VehicleDescription_TotalPrem_3

• VehicleDescription_VEH_4

• VehicleDescription_Year_4

• VehicleDescription_Make_4

• VehicleDescription_Model_4

• VehicleDescription_BodyType_4

• VehicleDescription_VIN_4

• VehicleDescription_VehicleType_PP_4

• VehicleDescription_VehicleType_SPEC_4

• VehicleDescription_VehicleType_COML_4

• VehicleDescription_SYMOrAGE_4

• VehicleDescription_COMPOrOTC_SYM_4

• VehicleDescription_COLL_SYM_4

• VehicleDescription_GaragingAddress_Street_4

• VehicleDescription_GaragingAddress_City_4

• VehicleDescription_GaragingAddress_County_4

• VehicleDescription_GaragingAddress_State_4

• VehicleDescription_GaragingAddress_Zip_4

• VehicleDescription_LICState_4

• VehicleDescription_TERR_4

• VehicleDescription_GVMOrGCW_4

• VehicleDescription_Class_4

• VehicleDescription_SIC_4

• VehicleDescription_Factor_4

• VehicleDescription_SeatCP_4

• VehicleDescription_Radius_4

• VehicleDescription_farthestTerminal_4

• VehicleDescription_CostNew_4

• VehicleDescription_Use_Pleasure_4

• VehicleDescription_Use_Farm_4

• VehicleDescription_Use_CommL_4

• VehicleDescription_Use_Retail_4

• VehicleDescription_Use_Service_4

• VehicleDescription_Use_ForHire_4

• VehicleDescription_Use_Other_Checkbox_4

• VehicleDescription_Use_Other_Testbox_4

• VehicleDescription_CheckCoverages_LIAB_4

• VehicleDescription_CheckCoverages_NoFault_4

• VehicleDescription_CheckCoverages_AddlNoFault_4

• VehicleDescription_CheckCoverages_MedPay_4

• VehicleDescription_CheckCoverages_UNINSMotor_4

• VehicleDescription_CheckCoverages_UNDRINSMotor_4

• VehicleDescription_CheckCoverages_TowingAndLabor_4

• VehicleDescription_CheckCoverages_SpecCOfL_4

• VehicleDescription_CheckCoverages_F_4

• VehicleDescription_CheckCoverages_FT_4

• VehicleDescription_CheckCoverages_FTW_4

• VehicleDescription_CheckCoverages_LSP_4

• VehicleDescription_CheckCoverages_COMPOrOTC_4

• VehicleDescription_CheckCoverages_COLL_4

• VehicleDescription_CheckCoverages_RentREIMB_4

• VehicleDescription_CheckCoverages_FG_4

• VehicleDescription_CheckCoverages_Other_Checkbox_4

• VehicleDescription_CheckCoverages_Other_Textbox_4

• VehicleDescription_Deductibles_AA_4

• VehicleDescription_Deductibles_ST_AMT_4

• VehicleDescription_Deductibles_ACV_4

• VehicleDescription_Deductibles_4

• VehicleDescription_COMPOrOTC_4

• VehicleDescription_SPECCOfL_4

• VehicleDescription_COMPOrOTCOrSPECCOfL_4

• VehicleDescription_COLL_4

• VehicleDescription_DriveToWorkOrSchool_below_45_Miles_4

• VehicleDescription_DriveToWorkOrSchool_Above_45_Miles_4

• VehicleDescription_NET_VEH_DROrCR_4

• VehicleDescription_TotalPrem_4

• VehicleDescription_VEH_5

• VehicleDescription_Year_5

• VehicleDescription_Make_5

• VehicleDescription_Model_5

• VehicleDescription_BodyType_5

• VehicleDescription_VIN_5

• VehicleDescription_VehicleType_PP_5

• VehicleDescription_VehicleType_SPEC_5

• VehicleDescription_VehicleType_COML_5

• VehicleDescription_SYMOrAGE_5

• VehicleDescription_COMPOrOTC_SYM_5

• VehicleDescription_COLL_SYM_5

• VehicleDescription_GaragingAddress_Street_5

• VehicleDescription_GaragingAddress_City_5

• VehicleDescription_GaragingAddress_County_5

• VehicleDescription_GaragingAddress_State_5

• VehicleDescription_GaragingAddress_Zip_5

• VehicleDescription_LICState_5

• VehicleDescription_TERR_5

• VehicleDescription_GVMOrGCW_5

• VehicleDescription_Class_5

• VehicleDescription_SIC_5

• VehicleDescription_Factor_5

• VehicleDescription_SeatCP_5

• VehicleDescription_Radius_5

• VehicleDescription_farthestTerminal_5

• VehicleDescription_CostNew_5

• VehicleDescription_Use_Pleasure_5

• VehicleDescription_Use_Farm_5

• VehicleDescription_Use_CommL_5

• VehicleDescription_Use_Retail_5

• VehicleDescription_Use_Service_5

• VehicleDescription_Use_ForHire_5

• VehicleDescription_Use_Other_Checkbox_5

• VehicleDescription_Use_Other_Testbox_5

• VehicleDescription_CheckCoverages_LIAB_5

• VehicleDescription_CheckCoverages_NoFault_5

• VehicleDescription_CheckCoverages_AddlNoFault_5

• VehicleDescription_CheckCoverages_MedPay_5

• VehicleDescription_CheckCoverages_UNINSMotor_5

• VehicleDescription_CheckCoverages_UNDRINSMotor_5

• VehicleDescription_CheckCoverages_TowingAndLabor_5

• VehicleDescription_CheckCoverages_SpecCOfL_5

• VehicleDescription_CheckCoverages_F_5

• VehicleDescription_CheckCoverages_FT_5

• VehicleDescription_CheckCoverages_FTW_5

• VehicleDescription_CheckCoverages_LSP_5

• VehicleDescription_CheckCoverages_COMPOrOTC_5

• VehicleDescription_CheckCoverages_COLL_5

• VehicleDescription_CheckCoverages_RentREIMB_5

• VehicleDescription_CheckCoverages_FG_5

• VehicleDescription_CheckCoverages_Other_Checkbox_5

• VehicleDescription_CheckCoverages_Other_Textbox_5

• VehicleDescription_Deductibles_AA_5

• VehicleDescription_Deductibles_ST_AMT_5

• VehicleDescription_Deductibles_ACV_5

• VehicleDescription_Deductibles_5

• VehicleDescription_COMPOrOTC_5

• VehicleDescription_SPECCOfL_5

• VehicleDescription_COMPOrOTCOrSPECCOfL_5

• VehicleDescription_COLL_5

• VehicleDescription_DriveToWorkOrSchool_below_55_Miles_5

• VehicleDescription_DriveToWorkOrSchool_Above_55_Miles_5

• VehicleDescription_NET_VEH_DROrCR_5

• VehicleDescription_TotalPrem_5