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.
ACORD 50 (1/83) |
© ACORD CORPORATION 1983 |
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.
ACORD 50 (1/83) |
© ACORD CORPORATION 1983 |
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.
ACORD 50 AR (2003/07) |
© ACORD CORPORATION 2003 |
|
ARIZONA |
INSURANCE IDENTIFICATION CARD |
|
|
(STATE) |
|
|
|
COMPANY NUMBER |
COMPANY |
|
|
A123 |
|
Any Insurance Company |
|
POLICY NUMBER |
EFFECTIVE DATE |
EXPIRATION DATE |
|
ABC987654321 |
5/1/2003 |
5/1/2004 |
|
YEAR |
MAKE/MODEL |
|
VEHICLE IDENTIFICATION NUMBER |
AutoIDWEB |
2002 |
TOYOTA / CAMRY |
JTDBE32K420010592 |
AGENCY/COMPANY ISSUING CARD |
|
|
Your Insurance Agency/Company |
|
(Replace this logo with your company logo) |
|
|
|
|
1234 Main Street |
|
|
|
|
AnyCity, US 12345 |
|
|
INSURED
Empire Parts
210 Washington Ave
Albany, NY 12210-1312
|
|
|
|
Your Custom Message |
|
|
SEE IMPORTANT NOTICE ON REVERSE SIDE |
Can Go Here! |
|
|
|
|
|
|
|
|
|
CALIFORNIA INSURANCE IDENTIFICATION CARD |
|
|
The policy meets the requirements of Section 16056 of the California Vehicle Code. |
|
COMPANY NUMBER |
COMPANY |
|
|
12345 |
Any Insurance Company |
|
POLICY NUMBER |
EFFECTIVE DATE |
EXPIRATION DATE |
|
ABC987654321 |
5/1/2003 |
5/1/2004 |
|
YEAR |
MAKE/MODEL |
|
VEHICLE IDENTIFICATION NUMBER |
AutoIDWEB |
2002 |
BUICK / RENDEZVOUS |
3G5DA03E12S504064 |
AGENCY/COMPANY ISSUING CARD |
|
|
Your Insurance Agency/Company |
|
(Replace this logo with your company logo) |
|
|
|
|
1234 Main Street |
|
|
|
|
AnyCity, US 12345 |
|
|
INSURED
Empire Parts
210 Washington Ave
Albany, NY 12210-1312
|
|
|
|
Your Custom Message |
|
|
SEE IMPORTANT NOTICE ON REVERSE SIDE |
Can Go Here! |
|
|
|
|
|
|
|
|
|
COLORADO INSURANCE IDENTIFICATION CARD |
|
|
BI, PD, AND PIP coverages provided as required by law. |
|
COMPANY NUMBER |
COMPANY |
|
|
123 |
|
Any Insurance Company |
|
POLICY NUMBER |
EFFECTIVE DATE |
EXPIRATION DATE |
|
ABC987654321 |
5/1/2003 |
5/1/2004 |
|
YEAR |
MAKE/MODEL |
|
VEHICLE IDENTIFICATION NUMBER |
AutoIDWEB |
2002 |
KIA / SD |
|
KNADC123526157767 |
AGENCY/COMPANY ISSUING CARD |
|
|
Your Insurance Agency/Company |
|
(Replace this logo with your company logo) |
|
|
|
|
1234 Main Street |
|
|
|
|
AnyCity, US 12345 |
|
|
INSURED
Empire Parts
210 Washington Ave
Albany, NY 12210-1312
Your Custom Message
Can Go Here!
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.
ACORD 50 (1/83) |
© ACORD CORPORATION 1983 |
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.
ACORD 50 (1/83) |
© ACORD CORPORATION 1983 |
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.
ACORD 50 (1/83) |
© ACORD CORPORATION 1983 |
|
|
|
CONNECTICUT INSURANCE IDENTIFICATION CARD |
|
|
Connecticut Insurance Card Issued Pursuant to Connecticut Law |
|
COMPANY NUMBER |
COMPANY |
|
123 |
|
Any Insurance Company |
|
POLICY NUMBER |
|
EFFECTIVE DATE |
|
ABC987654321 |
|
5/1/2003 |
|
YEAR |
MAKE/MODEL |
|
VEHICLE IDENTIFICATION NUMBER |
AutoIDWEB |
2001 |
BUICK / LESABRE |
1G4HP54K514147010 |
AGENCY/COMPANY ISSUING CARD |
|
|
Your Insurance Agency/Company |
(Replace this logo with your company logo) |
|
|
|
1234 Main Street |
|
|
|
|
AnyCity, US 12345 |
|
|
INSURED
Empire Parts
210 Washington Ave
Albany, NY 12210-1312
|
|
|
|
Your Custom Message |
|
|
SEE IMPORTANT NOTICE ON REVERSE SIDE |
Can Go Here! |
|
|
|
|
|
|
|
|
DISTRICT OF COLUMBIA |
INSURANCE IDENTIFICATION CARD |
|
|
(STATE) |
|
|
|
COMPANY NUMBER |
COMPANY |
|
|
123 |
|
Any Insurance Company |
|
POLICY NUMBER |
EFFECTIVE DATE |
EXPIRATION DATE |
|
ABC987654321 |
5/1/2003 |
5/1/2004 |
|
YEAR |
MAKE/MODEL |
|
VEHICLE IDENTIFICATION NUMBER |
AutoIDWEB |
2001 |
HONDA / ACCORD |
1HGCF86671A087673 |
AGENCY/COMPANY ISSUING CARD |
|
|
Your Insurance Agency/Company |
|
(Replace this logo with your company logo) |
|
|
|
|
1234 Main Street |
|
|
|
|
AnyCity, US 12345 |
|
|
INSURED
Empire Parts
210 Washington Ave
Albany, NY 12210-1312
|
|
|
|
Your Custom Message |
|
|
SEE IMPORTANT NOTICE ON REVERSE SIDE |
Can Go Here! |
|
|
|
|
|
|
|
|
DELAWARE |
INSURANCE IDENTIFICATION CARD |
|
|
(STATE) |
|
|
|
COMPANY NUMBER |
COMPANY |
|
|
12345 |
Any Insurance Company |
|
POLICY NUMBER |
EFFECTIVE DATE |
EXPIRATION DATE |
|
ABC987654321 |
5/1/2003 |
5/1/2004 |
|
YEAR |
MAKE/MODEL |
|
VEHICLE IDENTIFICATION NUMBER |
AutoIDWEB |
2001 |
OLDSMOBILE / INTRIGUE |
1GWS52H71F186333 |
AGENCY/COMPANY ISSUING CARD |
|
|
Your Insurance Agency/Company |
|
(Replace this logo with your company logo) |
|
|
|
|
1234 Main Street |
|
|
|
|
AnyCity, US 12345 |
|
|
INSURED
Empire Parts
210 Washington Ave
Albany, NY 12210-1312
Your Custom Message
Can Go Here!
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.
ACORD 50 (1/83) |
© ACORD CORPORATION 1983 |
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.
ACORD 50 (1/83) |
© ACORD CORPORATION 1983 |
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 (2/95) |
© ACORD CORPORATION 1993 |
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.
Rental car coverage is provided, see outline of coverage.
MISREPRESENTATION OF INSURANCE IS A FIRST DEGREE MISDEMEANOR
ACORD 50 FL (3/94) |
© ACORD CORPORATION 1994 |
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.
ACORD 50 (1/83) |
© ACORD CORPORATION 1983 |
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 HI (1/99) |
© ACORD CORPORATION 1994 |
|
|
|
IOWA FINANCIAL LIABILITY COVERAGE CARD |
|
COMPANY NUMBER |
COMPANY |
|
|
123 |
|
|
|
Any Insurance Company |
|
POLICY NUMBER |
EFFECTIVE DATE |
EXPIRATION DATE |
|
ABC987654321 |
5/1/2003 |
5/1/2004 |
|
YEAR |
|
|
MAKE/MODEL |
|
VEHICLE IDENTIFICATION NUMBER |
AutoID |
2001 |
|
|
MITSUBISHI / GALANT |
4A3AA46G61E191633 |
|
|
WEB |
AGENCY/COMPANY ISSUING CARD |
|
Your Insurance Agency/Company |
|
(Replace this logo with your company logo) |
AGENCY/COMPANY ADDRESS |
|
|
|
1234 Main Street |
|
|
|
AnyCity, US 12345 |
|
|
|
INSURED |
|
|
|
|
|
|
Empire Parts |
|
|
|
|
|
|
|
|
|
|
|
|
210 Washington Ave |
|
|
|
|
|
Albany, NY 12210-1312 |
|
|
|
|
|
|
|
|
Your Custom Message |
|
|
|
|
|
|
|
|
|
|
|
|
COVERAGE PROVIDED BY THIS POLICY MEETS THE MINIMUM LIABILITY LIMITS PRESCRIBED BY LAW |
Can Go Here! |
|
|
|
|
SEE IMPORTANT NOTICE ON REVERSE SIDE |
|
|
|
|
|
|
|
|
|
STATE OF IDAHO LIABILITY INSURANCE IDENTIFICATION CARD |
|
|
|
|
(STATE) |
|
|
|
COMPANY NUMBER |
COMPANY |
|
|
123 |
|
|
|
Any Insurance Company |
|
POLICY NUMBER |
EFFECTIVE DATE |
EXPIRATION DATE |
|
ABC987654321 |
5/1/2003 |
5/1/2004 |
|
YEAR |
|
|
MAKE/MODEL |
|
VEHICLE IDENTIFICATION NUMBER |
AutoIDWEB |
2001 |
|
|
KIA / SEPHIA |
|
KNAFB121X5052916 |
AGENCY/COMPANY ISSUING CARD |
|
|
Your Insurance Agency/Company |
|
(Replace this logo with your company logo) |
|
|
|
|
1234 Main Street |
|
|
|
|
AnyCity, US 12345 |
|
|
INSURED
Empire Parts
210 Washington Ave
Albany, NY 12210-1312
|
|
|
|
Your Custom Message |
|
|
SEE IMPORTANT NOTICE ON REVERSE SIDE |
Can Go Here! |
|
|
|
|
|
|
|
|
|
ILLINOIS INSURANCE IDENTIFICATION CARD |
|
|
Examine policy exclusions carefully. This form does not constitute any part of your insurance policy. |
|
COMPANY NUMBER |
COMPANY |
|
|
12345 |
Any Insurance Company |
|
POLICY NUMBER |
EFFECTIVE DATE |
EXPIRATION DATE |
|
ABC987654321 |
5/1/2003 |
5/1/2004 |
|
YEAR |
MAKE/MODEL |
|
VEHICLE IDENTIFICATION NUMBER |
AutoIDWEB |
2001 |
BUICK / LESABRE |
1G4HP54K914228687 |
AGENCY/COMPANY ISSUING CARD |
|
|
Your Insurance Agency/Company |
|
(Replace this logo with your company logo) |
|
|
|
|
1234 Main Street |
|
|
|
|
AnyCity, US 12345 |
|
|
INSURED
Empire Parts
210 Washington Ave
Albany, NY 12210-1312
Your Custom Message
Can Go Here!
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.
EMERGENCY PHONE NUMBER OF:
ACORD 50 IA (2002/12) |
© ACORD CORPORATION 2002 |
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.
ACORD 50 (1/83) |
© ACORD CORPORATION 1983 |
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.
EXCLUDED DRIVERS
ACORD 50 (1/83) |
© ACORD CORPORATION 1983 |