ACORD 2 Automobile Loss Notice - Document Skill

The ACORD 2 Automobile Loss Notice skill extracts data from ACORD® 2 forms — the standard automobile loss notice used in the US to report both commercial and personal-lines auto claims to the carrier. The ACORD 2 Automobile Loss Notice skill is a preview skill. It has been trained on a limited set of documents and is designed to help you quickly get started with processing ACORD 2 forms. For production use, you may need to uptrain the skill with your own document samples. The ACORD 2 Automobile Loss Notice skill recognizes handwritten text. This option is enabled by default. If you do not import handwritten forms, disable the Handwritten option in the skill settings.

Countries and Languages

Countries	Languages
USA	English

Extracted Fields

Identification

Field	Description
Date	The date on which the form is completed
Agency Name	The full name of the producer or agency
Agency Address	The address of the producer or agency
Contact Name	The name of the primary contact person at the producer’s establishment
Phone	The phone number of the primary contact person at the producer’s establishment
Fax	The fax number of the producer or agency
E-mail	The email address of the primary contact person at the producer’s establishment
Code	The identification code assigned to the producer (for example, agency or brokerage firm) by the insurer
Subcode	The identification code assigned by the insurer to the sub-producer (for example, natural person) within a producer’s office (for example, agency or brokerage)
Agency Customer ID	The identification number of the customer assigned by the producer (for example, agency or brokerage)
Insured Location Code	The code or identifier associated with the insured location for an insurance policy
Date of Loss and Time
Date	The date on which the loss occurred
Time	The approximate time at which the loss occurred
AM	Indicates that the time specified is AM
PM	Indicates that the time specified is PM
Carrier
Carrier Name	The insurer’s full legal company name(s) as per the file copy of the policy
Carrier Address	The address of the company
NAIC Code	The identification code assigned to the insurer by the NAIC
Policy Number	The identifier assigned by the insurer to the policy or submission, being referenced exactly as it appears on the policy, including prefix and suffix symbols. If required for self-insurance, the self-insured person’s license or contract number is specified instead
Policy Type	The type of policy issued to the insured person (for example, personal auto, truckers, garage liability, commercial property, and builder’s risk)

Insured

Field	Description
Name of Insured	The insured person (natural or legal) covered by the insurance policy
Date of Birth	The date of birth of the insured person
FEIN	The tax identifier of the named insured person
Marital Status or Civil Union	The insured person’s marital status. Possible values: S - Single, M - Married, D - Divorced, P - Separated, W - Widowed, C - Domestic Partner (unmarried), V - Civil Union, U - Unknown, O - Other
Phone 1
Phone 1	The primary phone number of the insured person
Phone Type
Home	Indicates that the primary phone number is for a home phone
Business	Indicates that the primary phone number is for a business phone
Cell	Indicates that the primary phone number is for a cell phone
Phone 2
Phone 2	The secondary phone number of the insured person
Phone Type
Home	Indicates that the secondary phone number is for a home phone
Business	Indicates that the secondary phone number is for a business phone
Cell	Indicates that the secondary phone number is for a cell phone
Phone 3
Phone 3	The third phone number of the insured person
Phone Type
Home	Indicates that the third phone number is for a home phone
Business	Indicates that the third phone number is for a business phone
Cell	Indicates that the third phone number is for a cell phone
Mailing Address	The mailing address of the insured person
Primary E-mail	The primary email address of the insured person
Secondary E-mail	The secondary email address of the insured person

Contact

Field	Description
Contact Insured	Indicates whether the individual to be contacted is the same as the insured person
Name of Contact	The full name (first, middle, last) of the individual to be contacted as a representative of the insured person on all subsequent business relating to this incident
Phone 1
Phone 1	The primary phone number of the representative of the insured person
Phone Type
Home	Indicates that the primary phone number is for a home phone
Business	Indicates that the primary phone number is for a business phone
Cell	Indicates that the primary phone number is for a cell phone
Phone 2
Phone 2	The secondary phone number of the representative of the insured person
Phone Type
Home	Indicates that the secondary phone number is for a home phone
Business	Indicates that the secondary phone number is for a business phone
Cell	Indicates that the secondary phone number is for a cell phone
Phone 3
Phone 3	The third phone number of the representative of the insured person
Phone Type
Home	Indicates that the third phone number is for a home phone
Business	Indicates that the third phone number is for a business phone
Cell	Indicates that the third phone number is for a cell phone
Mailing Address	The mailing address of the representative of the insured person
Primary E-mail	The primary email address of the representative of the insured person
Secondary E-mail	The secondary email address of the representative of the insured person

Loss

Field	Description
Location of Loss
Street	The physical street address of the loss location
City State ZIP	The city, state or province and postal code of the loss location
Country	The country of the loss location
Address	The address (including street, city, state or province, postal code, and country) of the loss location
Description of Location of Loss	The description of the location of loss if not at a specific street address
Description of Accident	An explanation of how the loss occurred
Police or Fire Department Contacted	The name of the municipal, country or other police department, fire department or other authority to which the accident was reported, including any precinct or station number, if available
Report Number	The report number assigned by the authority contacted

Insured Vehicle

Field	Description
Vehicle
Vehicle Number	The producer-assigned vehicle number
Year	The model year of the vehicle
Make	The manufacturer of the vehicle
Model	The manufacturer’s model name for the vehicle
Body Type	The body type of the vehicle
VIN	The car’s vehicle identification number
Plate Number	The license plate number
State	The state or province in which the vehicle is registered
Owner
Same as Insured	Indicates whether the owner of the insured vehicle is the same as the named insured person
Owner’s Name	The full name of the person (natural or legal) that is the owner of the vehicle or property
Owner’s Address	The address of the owner
Phone 1
Phone 1	The primary phone number of the owner of the vehicle or property
Phone Type
Home	Indicates that the primary phone number is for a home phone
Business	Indicates that the primary phone number is for a business phone
Cell	Indicates that the primary phone number is for a cell phone
Phone 2
Phone 2	The secondary phone number of the owner of the vehicle or property
Phone Type
Home	Indicates that the secondary phone number is for a home phone
Business	Indicates that the secondary phone number is for a business phone
Cell	Indicates that the secondary phone number is for a cell phone
Primary E-mail	The primary email address of the owner of the vehicle or property
Secondary E-mail	The secondary email address of the owner of the vehicle or property
Driver
Same as Owner	Indicates whether the owner was the driver of the insured vehicle
Driver’s Name	The name of the driver
Driver’s Address	The address of the driver
Phone 1
Phone 1	The primary phone number of the driver
Phone Type
Home	Indicates that the primary phone number is for a home phone
Business	Indicates that the primary phone number is for a business phone
Cell	Indicates that the primary phone number is for a cell phone
Phone 2
Phone 2	The secondary phone number of the driver
Phone Type
Home	Indicates that the secondary phone number is for a home phone
Business	Indicates that the secondary phone number is for a business phone
Cell	Indicates that the secondary phone number is for a cell phone
Primary E-mail	The primary email address of the driver
Secondary E-mail	The secondary email address of the driver
Relationship to Insured	The relationship of the driver to the named insured person
Date of Birth	The birth date of the driver
Driver’s License Number	The driver’s license number
State	The state in which the driver is licensed
Purpose of Use	A short description of the purpose of the trip during which the accident occurred (e.g., trip to store or commuting to work)
User with Permission
Yes	Indicates whether the driver had permission to use the vehicle
No	Indicates whether the driver had permission to use the vehicle
Describe Damage	Description of any damage to the vehicle or property
Child Seat Installed	Indicates whether a standard child passenger restraint system (child seat) was installed in the vehicle at the time of the accident. Possible values: Yes, No
Child Seat In Use	Indicates whether the child passenger restraint system (child seat) was in use by a child during the time of the accident. Possible values: Yes, No
Did Child Seat Sustain a Loss	Indicates whether the child passenger restraint system (child seat) sustained a loss at the time of the accident. Possible values: Yes, No
Estimate Amount	An estimate for the cost of repairing the vehicle or property
Where Can Vehicle Be Seen	The address where the adjuster can inspect the vehicle or property
When Can Vehicle Be Seen	The time period during which the vehicle or property is available for inspection
Carrier of Other Insurance	The insurer’s name on any other applicable insurance
Policy Number	The policy number of any other applicable insurance

Other Vehicle or Property Damaged

Field	Description
Vehicle	Indicates whether the damage was inflicted on a vehicle
Non-Vehicle	Indicates whether the damage was inflicted on a vehicle
Damaged Vehicle
Vehicle Number	The producer-assigned vehicle number
Year	The model year of the vehicle
Make	The manufacturer of the vehicle
Model	The manufacturer’s model name for the vehicle
Body Type	The body type of the vehicle
VIN	The car’s vehicle identification number (VIN)
Plate Number	The license plate number
State	The state or province in which the vehicle is registered
Property Description	A brief description of the type of property damaged, such as home or fence
Other Vehicle or Property Insured
Yes	Indicates whether the damaged property or vehicle was insured or not
No	Indicates whether the damaged property or vehicle was insured or not
Carrier or Agency Name	The insurer’s name on any other applicable insurance
NAIC Code	The NAIC code of the insurance company that issued the policy
Policy Number	The policy number of any other applicable insurance
Owner
Owner’s Name	The full name of the person (natural or legal) that is the owner of the vehicle or property
Owner’s Address	The address of the owner of the vehicle or property
Phone 1
Phone 1	The primary phone number of the owner of the vehicle or property
Phone Type
Home	Indicates that the primary phone number is for a home phone
Business	Indicates that the primary phone number is for a business phone
Cell	Indicates that the primary phone number is for a cell phone
Phone 2
Phone 2	The secondary phone number of the owner of the vehicle or property
Phone Type
Home	Indicates that the secondary phone number is for a home phone
Business	Indicates that the secondary phone number is for a business phone
Cell	Indicates that the secondary phone number is for a cell phone
Primary E-mail	The primary email address of the owner of the vehicle or property
Secondary E-mail	The secondary email address of the owner of the vehicle or property
Driver
Same as Owner	Indicates whether the owner was the driver of the insured vehicle
Driver’s Name	The name of the driver
Driver’s Address	The address of the driver
Phone 1
Phone 1	The primary phone number of the driver
Phone Type
Home	Indicates that the primary phone number is for a home phone
Business	Indicates that the primary phone number is for a business phone
Cell	Indicates that the primary phone number is for a cell phone
Phone 2
Phone 2	The secondary phone number of the driver
Phone Type
Home	Indicates that the secondary phone number is for a home phone
Business	Indicates that the secondary phone number is for a business phone
Cell	Indicates that the secondary phone number is for a cell phone
Primary E-mail	The primary email address of the driver
Secondary E-mail	The secondary email address of the driver
Describe Damage	Description of any damage to the vehicle or property
Estimate Amount	An estimate for the cost of repairing the vehicle or property
Where Can Damage Be Seen	The location where the adjuster can inspect the vehicle or property

Injured (Repeating Group)

Field	Description
Name	The name of a person that was injured in the incident or accident
Address	The address of a person that was injured in the incident or accident
Phone	The primary phone number of the injured party
Pedestrian	Indicates whether the injured party was a pedestrian
Insured Vehicle	Indicates whether the injured party was in the vehicle of the insured person
Other Vehicle	Indicates whether the injured party was in a vehicle other than the vehicle of the insured person
Age	The age of the injured party at the time of the incident
Extent of Injury	A brief description of the injury sustained by the injured party

Witnesses or Passengers (Repeating Group)

Field	Description
Name	The name of a person that was a witness to the incident or an uninjured passenger
Address	The address of a person that was a witness to the incident
Phone	The primary phone number of a person that was a witness to the incident
Insured Vehicle	Indicates whether the witness was in the vehicle of the insured person at the time of the incident
Other Vehicle	Indicates whether the witness was in a vehicle other than that of the insured person at the time of the incident
Other	Additional information related to the incident.

Reported By

Field	Description
Reported by	The name of the individual that reported the loss

Reported To

Field	Description
Reported to	The name of the individual within the agency or company to whom this loss was reported

Remarks

Field	Description
Remarks	Other general remarks regarding the automobile loss notice

Key Fields

Date
Agency Name
Agency Customer ID
Name of Insured
Plate Number

Validation Rules

Rule	Description
Copy Owner/Driver Details if Same as Insured/Owner	If Insured Vehicle/Owner/Same as Insured is checked, and Owner’s Name or Owner’s Address are empty, the rule copies values of the Insured/Name of Insured and Insured/Mailing address fields to the corresponding Owner’s Name and Owner’s Address fields. If Insured Vehicle/Driver/Same as Owner is checked, and Driver’s Name or Driver’s Address are empty, the rule copies values of the Owner’s Name and Owner’s address fields to the corresponding Driver’s Name and Driver’s Address fields
Copy DamagedVehicle DriverDetails if Same as Owner	If Other Vehicle or Property Damaged/Driver/Same as Owner is checked, and Driver’s Name or Driver’s Address are empty, the rule copies the values of the Owner’s Name and Owner’s address fields to the corresponding Driver’s Name and Driver’s Address fields
User With Permission Yes Checkmark, User With Permission No Checkmark, Other Vehicle or Property Insured Yes Checkmark, Other Vehicle or Property Insured No Checkmark	Where applicable, converts all true-or-false fields (for example, checkmarks, and yes or no fields) to Y/N format

​Countries and Languages

​Extracted Fields

​Identification

​Insured

​Contact

​Loss

​Insured Vehicle

​Other Vehicle or Property Damaged

​Injured (Repeating Group)

​Witnesses or Passengers (Repeating Group)

​Reported By

​Reported To

​Remarks

​Key Fields

​Validation Rules