Acord 101
The ACORD 101 form is designed to provide additional space for remarks or any other necessary details that cannot be accommodated on the standard forms. It can be attached to any primary ACORD form when more space is needed for explanations, descriptions, or any other additional information.
API Upload
The type parameter is acord101 for the Upload endpoint.
Field Descriptions:
The model automatically detects data such as:
| Session Name | Field Name | Data Type | Description |
|---|---|---|---|
| Basic Information | Agency Name | String | Agency name |
| Basic Information | Policy Number | String | Policy number |
| Basic Information | Carrier | String | Insurance carrier name |
| Basic Information | NAIC Code | String | NAIC code |
| Basic Information | Acord Version | String | ACORD form version |
| Basic Information | Agency Customer ID | String | Agency customer ID |
| Basic Information | LOC | String | LOC code |
| Named Insured | Company Name | String | Named insured company name |
| Named Insured | Company Address | String | Named insured address |
| Named Insured | Company Dba | String | Named insured DBA name |
| Named Insured | City | String | Named insured city |
| Named Insured | State | String | Named insured state |
| Named Insured | Zip | String | Named insured zip code |
| Named Insured | Effective Date | Date | Policy effective date |
| Additional Remarks | Form Number | String | Form number |
| Additional Remarks | Form Title | String | Form title |
| Remarks | Description | String | Remarks text |
### Version
- 1.0.0
Sample
Sample JSON Output
[
{
"data": {
"Basic Information": {
"Agency Name": {
"value": "Silver Light LLC",
"position": [59, 249, 262, 276],
"confidence": 1.0,
"review_required": false
},
"Policy Number": {
"value": "6634553",
"position": [66, 324, 178, 344],
"confidence": 1.0,
"review_required": false
},
"Carrier": {
"value": "Firoz Ins Inc",
"position": [72, 388, 229, 408],
"confidence": 1.0,
"review_required": false
},
"NAIC Code": {
"value": "SEE P 1",
"position": [720, 386, 824, 409],
"confidence": 1.0,
"review_required": false
},
"Acord Version": {
"value": "ACORD 101 (2008/01)",
"position": [59, 2070, 296, 2095],
"confidence": 1.0,
"review_required": false
},
"Agency Customer ID": {
"value": "457657",
"position": [1066, 67, 1162, 91],
"confidence": 1.0,
"review_required": false
},
"LOC": {
"value": "4353",
"position": [1067, 106, 1131, 125],
"confidence": 1.0,
"review_required": false
}
},
"Named Insured": {
"Company Name": {
"value": "Aroma Institute",
"position": [872, 255, 1068, 275],
"confidence": 1.0,
"review_required": false
},
"Company Address": {
"value": "4343 Forth Ring",
"position": [872, 284, 1079, 312],
"confidence": 1.0,
"review_required": false
},
"Company Dba": {
"value": "",
"position": [],
"confidence": 1.0,
"review_required": false
},
"City": {
"value": "Earling",
"position": [874, 318, 969, 345],
"confidence": 1.0,
"review_required": false
},
"State": {
"value": "TX",
"position": [979, 317, 1013, 343],
"confidence": 1.0,
"review_required": false
},
"Zip": {
"value": "9898",
"position": [1024, 316, 1088, 342],
"confidence": 1.0,
"review_required": false
},
"Effective Date": {
"value": "02/03/2021",
"position": [1059, 393, 1199, 412],
"confidence": 1.0,
"review_required": false
}
},
"Additional Remarks": {
"Form Number": {
"value": "ACORD 1",
"position": [250, 496, 373, 522],
"confidence": 1.0,
"review_required": false
},
"Form Title": {
"value": "Cerificate of Schedule Insurance",
"position": [577, 498, 997, 519],
"confidence": 1.0,
"review_required": false
}
},
"Remarks": {
"Description": {
"value": "* * GENERAL LIABILITY : Per attached Form 3453245 (SEE CERTIFICATE) is/are named as Additional Insured (s) as respects General Liability as required by written contract regarding the Ongoing Operations for Installation & Service Work performed exclusively by Bay Alarm Co. but excluding monitoring & Clock Response Service. Coverage is primary if required by written contract per form 3453245 * Waiver of Subrogation if required by written contract per Form 3453245 addition insured under the Coverage does not, in any way, alter, Control, limit or mitigatre code-coverage measures include linear code (i) sequence and jump (LCSAJ) coverage; (ii) multiple condition coverage (also known as condition combination coverage) and condition determination coverage (also known as multiple condition decision coverage or modified condition decision coverage, MCDC). AUTOMOBILE LIABILITY : Additional Insured if required by written contract per form 346533 5434 * Waiver of Subrogation if required by written contract per form 9884 0099 WORKERS' COMPENSATION : Waiver of Subrogation if required by written contract per Form VD 345334 (Texas Only) * Waiver of Subrogation if required by written contract per Form VD45653445 455 (Holand Only) *15 Days notice of cancellation for non-payment of premium",
"position": [83, 563, 1656, 1529],
"confidence": 1.0,
"review_required": false
}
}
}
}
]
Updated about 1 year ago