Word Merge Fields

Power Broker – WORD merge fields
Appendix C
POWER BROKER/MSWord® 2003thru2013 merge data fields list
CUSTOMER (BASIC) FORM TEMPLATE

Field Description
Merge Field name Field Name
Customer Database
Current Date
DATE
Customer Code
CCODE
Customer Name
NAME
Additional Name
CADDNAME
Customer Salutation
SALUTE
Customer Goes-By
GOES_BY
Customer Home Address- Line 1
H_ADDRESS1
Customer Home Address – Line 2
H_ADDRESS2
Customer City and Province
H_CITYPROV
Customer Postal Code
H_POSTZIP
Customer Home Telephone
H_PHONE
Customer Fax Number
FAX
Customer Cellular Telephone
CELLULAR
Customer Cottage Telephone
COT_PHONE
Customer Business Address – Line 1
B_ADDRESS1
Customer Business Address – Line 2
B_ADDRESS2
Business Address Postal Code
B_POSTZIP
Business Fax Number
B_FAX
Business Toll-free Phone Number
B_TOLLFREE
Business Phone # 2
B_PHONE2
Customer Business Telephone
BUS_PHONE
Customer Business Extension
BUS_EXT
Customer E-Mail Address
EMAIL
Customer Date of Birth
DATE_BIRTH
Customer Language
LANG
Customer Age
AGE
Customer Sex
SEX
Customer Marital Status
MARITAL
Customer Sector Code
SECTCODE
Customer Tax Zone
TAXZONE
Customer Occupation
OCCUPATION
Customer Employer Name
EMPLOYER
Customer Employer Address – Line1 & 2
E_ADDRESS1
Customer Employer City and Province
E_CITYPROV
Customer Employer Postal Code
E_POSTZIP
Customer Referred By
REF_BY
Personal Automobile Renewal Date
AUTODATE
Habitational Renewal
HOMEDATE
Life and Disability Renewal Date
LIFEDATE
Commercial Automobile Renewal Date
COMMAUTO
Commercial Business Renewal Date
COMMBUS
Customer Since
CUST_SINCE
Customer Balance
BALANCE
Power Broker Operator (User)
C_OPERATOR
Customer Balance 30 days
CBAL30
Customer Balance 60 days
CBAL60
Customer Balance 90 days
CBAL90
Customer Balance over 90 days
CBALOVER
Customer Balance Post Dated
CBALPOST
Customer Balance Pre-Bill
CBALPRE
Customer Total Balance
BALANCE22
Producer (from the Customer Screen)
Producer Code
PCODE
Producer Name
PROD_NAME
Producer Title
PROD_TITLE
Producer Address – Line 1 & 2
PROD_ADD1
Producer City and Province
PROD_CITY
Producer Postal Code
PROD_POST
Producer Telephone
PROD_PHONE
Producer Cellular
PROD_CELL
Producer Email Address
PROD_EMAIL
Producer Signature
SIG_PROD
CSR Signature
SIG_CSR
User Signature
SIG_USER
Customer Service Rep Code
CSR_CODE
Customer Service Rep Name
CSR_NAME
Customer Service Rep Email Address
CSR_EMAIL
Customer Service Rep Title
CSR_TITLE
Branch Office (From the Customer Screen)
Branch Office Code
BRANCHCODE
Branch Office Name
BRAN_NAME
Branch Office Address – Line 1
BRAN_ADD1
Branch Office Address – Line 2
BRAN_ADD2
Branch Office City and Province
BRAN_CITY
Branch Office Postal Code
BRAN_POST
Branch Office Telephone
BRAN_TEL

BRAN_FAXCUSTOMER WITH NETWORTH FORM TEMPLATE

Field Description
Merge Field Name
Customer Database
Current Date
DATE
Customer Code
CCODE
Customer Name
NAME
Customer Additional Name
CADDNAME
Customer Salutation
SALUTE
Customer Goes-By
GOES_BY
Customer Home Address- Line 1
H_ADDRESS1
Customer Home Address – Line 2
H_ADDRESS2
Customer City and Province
H_CITYPROV
Customer Postal Code
H_POSTZIP
Customer Home Telephone
H_PHONE
Customer Cellular Telephone
CELLULAR
Customer Cottage Telephone
COT_PHONE
Customer Business Address Line 1
B_ADDRESS1
Customer Business Address Line 2
B_ADDRESS2
Customer Business City / Province
B_CITYPROV
Customer Business Postal / Zip
B_POSTZIP
Customer Business Telephone
BUS_PHONE
Customer Business Extension
BUS_EXT
Customer Business Fax Number
B_FAX
Business Toll-free Number
B_TOLLFREE
Business Phone Number 2
B_PHONE2
Customer E-Mail Address
EMAIL
Customer Date of Birth
DATE_BIRTH
Customer Language
LANG
Customer Age
AGE
Customer Sex
SEX
Customer Marital Status
MARITAL
Spouse Name
SPOUSE2
Spouse Date of Birth
DATE_BIRTH2
Spouse Age
AGE2
Spouse Sex
SEX2
Spouse Insured (Y/N)
INS2
Customer Sector Code
SECTCODE
Customer Fax
FAX
Customer Tax Zone
TAXZONE
Customer Occupation
OCCUPATION
Customer Employer Name
EMPLOYER
Customer Employer Address – Line1 & 2
E_ADDRESS1
Customer Employer City and Province
E_CITYPROV
Customer Employer Postal Code
E_POSTZIP
Customer Annual Income
INCOME
Customer Social Insurance Number
SOC_INSNO
Number of Dependants
NO_DEPEND
Corporation Date
CORPDATE
Customer Referred By
REF_BY
Personal Automobile Renewal Date
AUTODATE
Habitational Renewal
HOMEDATE
Life and Disability Renewal Date
LIFEDATE
Commercial Automobile Renewal Date
COMMAUTO
Commercial Business Renewal Date
COMMBUS
Customer Since
CUST_SINCE
Customer Balance
BALANCE
Power Broker Operator (User)
C_OPERATOR
Customer Balance 30 days
CBAL30
Customer Balance 60 days
CBAL60
Customer Balance 90 days
CBAL90
Customer Balance Over 90 days
CBALOVER
Customer Balance Post Dated
CBALPOST
Customer Balance Pre-Bill
CBALPRE
Customer Total Balance
BALANCE22
Spouse 1 Marital Status
MARITAL2
Spouse 2 Name
SPOUSE3
Spouse 2 Date of Birth
DATEBIRTH3
Spouse 2 Age
AGE3
Spouse 2 Sex
SEX3
Spouse 2 Related to Insured
INS3
Spouse 2 Marital Status
MARITAL3
Child 1 Name
CHILD4
Child 1 Date of Birth
DATEBIRTH4
Child 1 Age
AGE4
Child 1 Sex
SEX4
Child 1 Related to Insured
INS4
Child 1 Marital Status
MARITAL4
Child 2 Name
CHILD5
Child 2 Date of Birth
DATEBIRTH5
Child 2 Age
AGE5
Child 2 Sex
SEX5
Child 2 Related to Insured
INS5
Child 2 Marital Status
MARITAL5
Child 3 Name
CHILD6
Child 3 Date of Birth
DATEBIRTH6
Child 3 Age
AGE6
Child 3 Sex
SEX6
Child 3 Related to Insured
INS6
Child 3 Marital Status
MARITAL6
Child 4 Name
CHILD7
Child 4 Date of Birth
DATEBIRTH7
Child 4 Age
AGE7
Child 4 Sex
SEX7
Child 4 Related to Insured
INS7
Child 4 Marital Status
MARITAL7
Child 5 Name
CHILD8
Child 5 Date of Birth
DATEBIRTH8
Child 5 Age
AGE8
Child 5 Sex
SEX8
Child 5 Related to Insured
INS8
Child 5 Marital Status
MARITAL8
Primary Residence
HOUSE
Automobiles
CARS
Cottages
COTTAGE
Boats
BOATS
Jewelry
JEWELS
Cash Savings
CASH
Mutual Funds
MUT_FUND
G.I.C. Savings
RRSP
Mutual Funds RRSP
MUTRRSP
G.I.C. RRSP
GICRRSP
Additional Asset 1 Description
ASSET1DESC
Additional Asset 1 Amount
ASSET1
Additional Asset 2 Description
ASSET2DESC
Additional Asset 2 Amount
ASSET2
Additional Asset 3 Description
ASSET3DESC
Additional Asset 3 Amount
ASSET3
Additional Asset 4 Description
ASSET4DESC
Additional Asset 4 Amount
ASSET4
Additional Asset 5 Description
ASSET5DESC
Additional Asset 5 Amount
ASSET5
Mortgages
MORTGAGE
Bank Loans
BANK_LOAN
Car Loans
CAR_LOAN
Additional Liability 1 Description
LIAB1DESC
Additional Liability 1 Amount
LIAB1
Additional Liability 2 Description
LIAB2DESC
Additional Liability 2 Amount
LIAB2
Additional Liability 3 Description
LIAB3DESC
Additional Liability 3 Amount
LIAB3
Additional Liability 4 Description
LIAB4DESC
Additional Liability 4 Amount
LIAB4
Additional Liability 5 Description
LIAB5DESC
Additional Liability 5 Amount
LIAB5
Customer Networth
NET_WORTH
Producer (from the Customer Screen)
Producer Code
PCODE
Producer Name
PROD_NAME
Producer Title
PROD_TITLE
Producer Address – Line 1 & 2
PROD_ADD1
Producer City and Province
PROD_CITY
Producer Postal Code
PROD_POST
Producer Telephone
PROD_PHONE
Producer Cellular
PROD_CELL
Producer Email Address
PROD_EMAIL
Producer Signature
SIG_PROD
CSR Signature
SIG_CSR
User Signature
SIG_USER
Customer Service Rep. Code
CSR_CODE
Customer Service Rep. Name
CSR_NAME
Customer Service Rep. Email
CSR_EMAIL
Customer Service Rep. Title
CSR_TITLE
Branch Office (From the Customer Screen)
Branch Office Code
BRANCHCODE
Branch Office Name
BRAN_NAME
Branch Office Address – Line 1
BRAN_ADD1
Branch Office Address – Line 2
BRAN_ADD2
Branch Office City and Province
BRAN_CITY
Branch Office Postal Code
BRAN_POST
Branch Office Telephone
BRAN_TEL
Branch Office Fax
BRAN_FAX

POLICY (BASIC) FORM TEMPLATE

Policy Database Information

Policy Number
POLICYNUM
Binder (Yes or No)
BINDER
Policy Holder Name
POLICYNAME
Policy Effective Date
EFFECTIVE
Policy Expiry Date
EXPIRY
Policy Premium
PREMIUM
Premium + Tax
PREM_TAX
Total Premium
TOTAL_PREM
Customer Service Rep. Code
CSR_CODE
Customer Service Rep. Name
CSR_NAME
Customer Service Rep. Email
CSR_EMAIL
Customer Service Rep. Title
CSR_TITLE
Last Updated
UPDATED
Agency or Direct Bill
AGEN_DIR
Line of Business Code
BUSCODE
Tax
TAX
Policy Cancelled
CANCELLED
Cancellation Date
CAN_DATE

Insurer Database Information

Insurance Company Code
INS_CODE
Insurance Company Name
INS_NAME
Insurance Company Address Line 1&2
INS_ADD1
Insurance Company City and Province
INS_CITY
Insurance Company Postal Code
INS_POSTAL
Insurance Company Telephone
INS_TEL
Insurance Company Fax
INS_FAX

AUTOMOBILE POLICY DETAIL FORM TEMPLATE

Insurance Company Code
INS_CODE
Insurance Company Name
INS_NAME
Insurance Company Address – Line 1 & 2
INS_ADD1
Insurance Company City and Province
INS_CITY
Insurance Company Postal Code
INS_POSTAL
Insurance Company Telephone
INS_TEL
Insurance Company Fax
INS_FAX
Vehicle Database Information

Vehicle Year
YEAR
Vehicle Code
VEHCODE
Vehicle Make
MAKE
Vehicle Model
MODEL
Vehicle Territory
TERRITORY
Vehicle Displacement
DISPL
Vehicle Body Type
BODY_TYPE
Vehicle Number of Cylinders
CYLINDERS
Vehicle Weight
WEIGHT
Vehicle Identification Number
VIN
Vehicle Use
VEH_USE
Vehicle Commute Distance
COMMUTE
Vehicle Kms Driven Annually
ANNUAL_DR
Vehicle Lienholder / Lessor
LIENHOLDER
Vehicle Lienholder Address – Line 1
L_ADDRESS1
Vehicle Lienholder Address – Line 2
L_ADDRESS2
Vehicle Lienholder City and Province
L_CITYPROV
Vehicle Lienholder Postal Code
L_POSTAL
Vehicle Lienholder Province
L_PROV
Vehicle Number
VNO
Vehicle Rate Class
RATE_CLASS
Driving Record – Bodily Injury
DRIVING_A
Driving Record – Property Damage
DRIVING_C
Vehicle Rate Group(s) Coll/DC
RATE_GROUP
Vehicle Rate Group – Comprehensive
RATE2GROUP
Vehicle Rate Group – Acc. Benefits
RATE3GROUP
Vehicle Claim Surcharge Percentage
CLAIM_SUR
Vehicle Conviction Surcharge %
CONV_SUR
Vehicle Discount Percentage
DISC_PERC
% Vehicle Drive by Driver 1
DRIV1
% Vehicle Drive by Driver 2
DRIV2
% Vehicle Drive by Driver 3
DRIV3
% Vehicle Drive by Driver 4
DRIV4
% Vehicle Drive by Driver 5
DRIV5
Vehicle License Plate
LICENSE
Vehicle License Province
LICPROV
Vehicle Purchase Date
DTPUR
Vehicle New / Used
NEWUSED
Vehicle Purchase Price
PURPR
Vehicle List Price
LIST
Vehicle Facility (Y/N)
FACIN
Carry Goods for Compensation (Y/N)
GOODS
Rent / Lease (Y/N)
RENT
Carry Passengers for Compensation (Y/N)
CARRY
Explosive / Radioactive Material (Y/N)
EXPLO
Car Pool (Y/N)
CARUE
Car Pool Number of Passengers
NOPAS
Anti-theft Device
ANTD
Type of Fuel
POWER_REM
Modification (Y/N)
MODIN
Existing Unrepaired Damage
EXREP
Multi-car Discount (Y/N)
MULTI
Driving Record – Collision / AP
DRTPD
Driving Record – Acc. Benefits
DRAB
Driving Record – DC / PD
DRDC
Pre-inspection Completed
VEHIN
Vehicle Registration Number
REG_NO
Vehicle Decal Number
DECAL_NO
Driver Database Information

Driver Name
DRNAME
Driver License Number
DRLICENSE
Driver Province
DRPROV
Driver Birth Date
DR_BIRTH
Driver Age
DR_AGE
Driver Sex (M/F)
DR_SEX
Driver Marital Status
DR_MARITAL
Preferred Driver
YOUNG_DR
License Class
CLASS
Years Licensed
YEARS_LIC
Driver Number
DRNO
Date First Licensed
FIRST_LIC
Number of Claims
NO_CLAIMS
Number of Convictions
NO_CONV
Years Licensed – Class Code #2
LICDT
Restricted (Y/N)
REIND
Driver Relation to Applicant
DRACD_REM
Distance Driver (Y/N)
DSDIN
Disability (Y/N)
DISIN
Defensive Driving (Y/N)
DDIND
License Suspension (Y/N)
LICSV
Cancelled/Refused Reason
RSVP_REM
Date Hired
HIRDT
Date First Licensed – Class Code #2
DTLIC
License Class Code #2
LICCD
Date First Licensed – Class Code #3
DTLIC3
License Class Code #3
LICCD3
Date Last MVR
MVRDT
Non-Smoker (Y/N)
NONSK
Preferred Driver Qualification (Y/N)
PDPRF
Retiree Discount (Y/N)
RETIR
Fixed ID Number
NOFID
Driver Grid Level
DGLEV
Conviction Accident Surcharge
COASV2
Coverages Database
Bodily Injury Limit
BILIM
Bodily Injury Premium
BIPREM
Property Damage Limit
PDLIM
Property Damage Premium
PDPREM
Accident Benefits Limit
ABLIMIT
Accident Benefits Premium
ABPREM
Death Benefits & Dismemberment Limit – Quebec QEF 34
ABLIMIT1
Death Benefits & Dismemberment Premium – Quebec QEF 34
ABPREM1
Medical Expenses Per Person Limit – Quebec QEF 34
ABLIMIT2
Medical Expenses Per Person Premium – QEF 34
ABPREM2
Total Disability Max Weekly Benefit Limit – Quebec QEF 34
ABLIMIT3
Total Disability Max Weekly Benefit Premium – Quebec QEF 34
ABPREM3
Income Replacement Limit
IRLIM
Income Replacement Premium
IRPREM
Caregiver & Dependant Premium
CAREPREM
Medical, Rehabilitation Premium
MEDPREM
Attendant Care
ATTENDPREM
Medical, Rehabilitation & Attendant Care
MEDREHPREM
Dependant Care
DEPENDPREM
Death & Funeral Premium
DEATHPREM
Indexation Benefits Premium
INDEXPREM
Direct Compensation Deductible
DCDED
Direct Compensation Premium
DCPREM
All Perils Deductible
APDED
All Perils Premium
APPREM
Collision / Upset Deductible
COLLDED
Collision / Upset Premium
COLLPREM
Comprehensive Deductible
COMPDED
Comprehensive Premium
COMPPREM
Specified Perils Deductible
SPDED
Specified Perils Premium
SPPREM
Uninsured Automobile Premium
UIMPREM
OEF 44 / QEF 34 Limit
OEF44LIM
OEF 44 / QEF 34 Premium
OEF44PREM
Other Coverage #1 Code
OTH1COV
Other Coverage #1 Description
OTH1
Other Coverage #1 Limit
OTH1LIM
Other Coverage # 1 Premium
OTH1PREM
Other Coverage #2 Code
OTH2COV
Other Coverage #2 Description
OTH2
Other Coverage #2 Limit
OTH2LIM
Other Coverage # 2 Premium
OTH2PREM
Other Coverage #3 Code
OTH3COV
Other Coverage #3 Description
OTH3
Other Coverage #3 Limit
OTH3LIM
Other Coverage # 3 Premium
OTH3PREM
Other Coverage #4 Code
OTH4CCOV
Other Coverage #4 Description
OTH4
Other Coverage #4 Limit
OTH4LIM
Other Coverage #4 Premium
OTH4PREM
Other Coverage #5 Code
OTH5COV
Other Coverage #5 Description
OTH5
Other Coverage #5 Limit
OTH5LIM
Other Coverage #5 Premium
OTH5PREM
Other Coverage #6 Code
OTH6COV
Other Coverage #6 Description
OTH6
Other Coverage #6 Limit
OTH6LIM
Other Coverage #6 Premium
OTH6PREM
Other Coverage #7 Code
OTH7COV
Other Coverage #7 Description
OTH7
Other Coverage #7 Limit
OTH7LIM
Other Coverage #7 Premium
OTH7PREM
Other Coverage #8 Code
OTH8COV
Other Coverage #8 Description
OTH8
Other Coverage #8 Limit
OTH8LIM
Other Coverage #8 Premium
OTH8PREM
Other Coverage #9 Code
OTH9COV
Other Coverage #9 Description
OTH9
Other Coverage #9 Premium
OTH9PREM
Vehicle Premium
VEH_PREM
Additional Named Insured name
INAME
Additional Named Insured Address 1
ADDRESS1
Additional Named Insured Address 2
ADDRESS2
Additional Named Insured City/Prov
CITYPROV
Add’l Named Ins’d Postal / Zip Code

POSTZIPAUTOMOBILE POLICY SUMMARY FORM TEMPLATE

Field Description
Merge Field Name
Vehicle Database
Vehicle 1 Year
YEAR1
Vehicle 1 Make
MAKE1
Vehicle 1 Model
MODEL1
Vehicle 1 Identification Number
VIN1
Vehicle 1 Use
VEH_USE1
Vehicle 1 Commute Distance
COMMUTE1
Vehicle 1 Kms Driven Annually
ANNUAL_DR1
Vehicle 1 Lienholder / Lessor
LIENHOLD1
Vehicle 1 Lienholder Address
L_CITY1
Vehicle 1 Number
VNO1
Vehicle 1 Rate Class
RATECLASS1
Vehicle 1 Rate Group
RATEGROUP1
Vehicle 1 No Frills (Y/N)
VE1_NOFID
Vehicle 1 Percent Business Use
VE1_BUSPER
Vehicle 1 Car Pool Distance
VE1_PLDIST
Vehicle 2 Year
YEAR2
Vehicle 2 Make
MAKE2
Vehicle 2 Model
MODEL2
Vehicle 2 Identification Number
VIN2
Vehicle 2 Use
VEH_USE2
Vehicle 2 Commute Distance
COMMUTE2
Vehicle 2 Kms Driven Annually
ANNUAL_DR2
Vehicle 2 Lienholder / Lessor
LIENHOLD2
Vehicle 2 Lienholder Address
L_CITY2
Vehicle 2 Number
VNO2
Vehicle 2 Rate Class
RATECLASS2
Vehicle 2 Rate Group
RATEGROUP2
Vehicle 2 No Frills (Y/N)
VE2_NOFID
Vehicle 2 Percent Business Use
VE2_BUSPER
Vehicle 2 Car Pool Distance
VE2_PLDIST
Vehicle 3 Year
YEAR3
Vehicle 3 Make
MAKE3
Vehicle 3 Model
MODEL3
Vehicle 3 Identification Number
VIN3
Vehicle 3 Use
VEH_USE3
Vehicle 3 Commute Distance
COMMUTE3
Vehicle 3 Kms Driven Annually
ANNUAL_DR3
Vehicle 3 Lienholder / Lessor
LIENHOLD3
Vehicle 3 Lienholder Address
L_CITY3
Vehicle 3 Number
VNO3
Vehicle 3 Rate Class
RATECLASS3
Vehicle 3 Rate Group
RATEGROUP3
Vehicle 3 No Frills (Y/N)
VE3_NOFID
Vehicle 3 Percent Business Use
VE3_BUSPER
Vehicle 3 Car Pool Distance
VE3_PLDIST
Vehicle 4 Year
YEAR4
Vehicle 4 Make
MAKE4
Vehicle 4 Model
MODEL4
Vehicle 4 Identification Number
VIN4
Vehicle 4 Use
VEH_USE4
Vehicle 4 Commute Distance
COMMUTE4
Vehicle 4 Kms Driven Annually
ANNUAL_DR4
Vehicle 4 Lienholder
LIENHOLD4
Vehicle 4 Lienholder Address
L_CITY4
Vehicle 4 Number
VNO4
Vehicle 4 Rate Class
RATECLASS4
Vehicle 4 Rate Group
RATEGROUP4
Vehicle 4 No Frills (Y/N)
VE4_NOFID
Vehicle 4 Percent Business Use
VE4_BUSPER
Vehicle 4 Car Pool Distance
VE4_PLDIST
Vehicle 5 Year
YEAR5
Vehicle 5 Make
MAKE5
Vehicle 5 Model
MODEL5
Vehicle 5 Identification Number
VIN5
Vehicle 5 Use
VEH_USE5
Vehicle 5 Commute Distance
COMMUTE5
Vehicle 5 Kms Driven Annually
ANNUAL_DR5
Vehicle 5 Lienholder
LIENHOLD5
Vehicle 5 Lienholder Address
L_CITY5
Vehicle 5 Number
VNO5
Vehicle 5 Rate Class
RATECLASS5
Vehicle 5 Rate Group
RATEGROUP5
Vehicle 5 No Frills (Y/N)
VE5_NOFID
Vehicle 5 Percent Business Use
VE5_BUSPER
Vehicle 5 Car Pool Distance
VE5_PLDIST
Driver Database Information

Driver 1 Name
DRNAME1
Driver 1 License Number
DRLICENSE1
Driver 1 Birth Date
DR_BIRTH1
Driver 1 Age
DR_AGE1
Driver 1 Sex (M/F)
DR_SEX1
Driver 1 License Class
CLASS1
Driver 1 Years Licensed
YEARS_LIC1
Driver 1 Number
DRNO1
Driver 1 Number of Claims
NO_CLAIMS1
Driver 1 Number of Convictions
NO_CONV1
Driver 2 Name
DRNAME2
Driver 2 License Number
DRLICENSE2
Driver 2 Birth Date
DR_BIRTH2
Driver 2 Age
DR_AGE2
Driver 2 Sex (M/F)
DR_SEX2
Driver 2 License Class
CLASS2
Driver 2 Years Licensed
YEARS_LIC2
Driver 2 Number
DRNO2
Driver 2 Number of Claims
NO_CLAIMS2
Driver 2 Number of Convictions
NO_CONV2
Driver 3 Name
DRNAME3
Driver 3 License Number
DRLICENSE3
Driver 3 Birth Date
DR_BIRTH3
Driver 3 Age
DR_AGE3
Driver 3 Sex (M/F)
DR_SEX3
Driver 3 License Class
CLASS3
Driver 3 Years Licensed
YEARS_LIC3
Driver 3 Number
DRNO3
Driver 3 Number of Claims
NO_CLAIMS3
Driver 3 Number of Convictions
NO_CONV3
Driver 4 Name
DRNAME4
Driver 4 License Number
DRLICENSE4
Driver 4 Birth Date
DR_BIRTH4
Driver 4 Age
DR_AGE4
Driver 4 Sex (M/F)
DR_SEX4
Driver 4 License Class
CLASS4
Driver 4 Years Licensed
YEARS_LIC4
Driver 4 Number
DRNO4
Driver 4 Number of Claims
NO_CLAIMS4
Driver4 Number of Cinvictions
NO_CONV4
Driver 5 Name
DRNAME5
Driver 5 License Number
DRLICENSE5
Driver 5 Birth Date
DR_BIRTH5
Driver 5 Age
DR_AGE5
Driver 5 Sex (M/F)
DR_SEX5
Driver 5 License Class
CLASS5
Driver 5 Years Licensed
YEARS_LIC5
Driver 5 Number
DRNO5
Driver 5 Number of Claims
NO_CLAIMS5
Driver 5 Number of Convictions
NO_CONV5
Vehicle Database Information
Vehicle 1 Bodily Injury Limit
BILIM1
Vehicle 1 Bodily Injury Premium
BIPREM1
Vehicle 1 Property Damage Premium
PDPREM1
Vehicle 1 Accident Benefit Premium
ABPREM1
Vehicle 1 Direct Comp. Deductible
DCDED1
Vehicle 1 Direct Comp. Premium
DCPREM1
Veh. 1 All Perils/Collision Deductible
AP_COLDED1
Veh. 1 All Perils/Collision Premium
AP_COLPR1
Veh. 1 Specified Perils/Comp. Ded.
SP_COMDED1
Veh. 1 Specified Perils/Comp. Premium
SP_COMPR1
Vehicle 1 Total Premium
PREMIUM1
Vehicle 2 Bodily Injury Limit
BILIM2
Vehicle 2 Bodily Injury Premium
BIPREM2
Vehicle 2 Property Damage Premium
PDPREM2
Vehicle 2 Accident Benefit Premium
ABPREM2
Vehicle 2 Direct Comp. Deductible
DCDED2
Vehicle 2 Direct Comp. Premium
DCPREM2
Veh. 2 All Perils/Collision Deductible
AP_COLDED2
Veh. 2 All Perils/Collision Premium
AP_COLPR2
Veh. 2 Specified Perils/Comp. Ded.
SP_COMDED2
Veh. 2 Specified Perils/Comp. Premium
SP_COMPR2
Vehicle 2 Total Premium
PREMIUM2
Vehicle 3 Bodily Injury Limit
BILIM3
Vehicle 3 Bodily Injury Premium
BIPREM3
Vehicle 3 Property Damage Premium
PDPREM3
Vehicle 3 Accident Benefit Premium
ABPREM3
Vehicle 3 Direct Comp. Deductible
DCDED3
Vehicle 3 Direct Comp. Premium
DCPREM3
Veh. 3 All Perils/Collision Deductible
AP_COLDED3
Veh. 3 All Perils/Collision Premium
AP_COLPR3
Veh. 3 Specified Perils/Comp. Ded.
SP_COMDED3
Veh. 3 Specified Perils/Comp. Premium
SP_COMPR3
Vehicle 3 Total Premium
PREMIUM3
Vehicle 4 Bodily Injury Limit
BILIM4
Vehicle 4 Bodily Injury Premium
BIPREM4
Vehicle 4 Property Damage Premium
PDPREM4
Vehicle 4 Accident Benefit Premium
ABPREM4
Vehicle 4 Direct Comp. Deductible
DCDED4
Vehicle 4 Direct Comp. Premium
DCPREM4
Veh. 4 All Perils/Collision Deductible
AP_COLDED4
Veh. 4 All Perils Collision Premium
AP_COLPR4
Veh. 4 Specified Perils/Comp. Ded.
SP_COMDED4
Veh. 4 Specified Perils/Comp. Premium
SP_COMPR4
Vehicle 4 Total Premium
PREMIUM4
Vehicle 5 Bodily Injury Limit
BILIM5
Vehicle 5 Bodily Injury Premium
BIPREM5
Vehicle 5 Property Damage Premium
PDPREM5
Vehicle 5 Accident Benefit Premium
ABPREM5
Vehicle 5 Direct Comp. Deductible
DCDED5
Vehicle 5 Direct Comp. Premium
DCPREM5
Veh. 5 All Perils/Collision Deductible
AP_COLDED5
Veh. 5 All Perils/Collision Premium
AP_COLPR5
Veh. 5 Specified Perils/Comp. Ded.
SP_COMDED5
Veh. 5 Specified Perils/Comp. Premium
SP_COMPR5
Vehicle 5 Total Premium

PREMIUM5HABITATIONAL POLICY DETAIL FORM TEMPLATE

Field Description
Merge Field Name
Policy Database
Property Number
PRNO
Property Address
ADDRESS1
Property City and Province
CITYPROV
Property First Payee Name
PAYEE
First Payee Address
P_ADDRESS1
First Payee City and Province
P_CITYPROV
First Payee Nature of Interest
NATURE1
Second Payee Name
PAYEE2
Second Payee Address
P_ADDRESS2
Second Payee City and Province
P_CITY2
Second Payee Nature of Interest
NATURE2
Third Payee
PAYEE3
Third Payee Address
P_ADDRESS3
Third Payee City and Province
P_CITY3
Third Payee Nature of Interest
NATURE3
Discount/Surcharge1 Description/ %
DISCSUR1
Discount/Surcharge2 Description/ %
DISCSUR2
Discount/Surcharge3 Description/ %
DISCSUR3
Discount/Surcharge4 Description/ %
DISCSUR4
Discount/Surcharge5 Description/ %
DISCSUR5
Discount/Surcharge6 Description/ %
DISCSUR6
Discount/Surcharge7 Description/ %
DISCSUR7
Discount/Surcharge8 Description/ %
DISCSUR8
Discount/Surcharge9 Description/ %
DISCSUR9
Discount/Surcharge10 Descript/ %
DISCSUR10
Discount/Surcharge11 Descript/ %
DISCSUR11
Discount/Surcharge12 Descript/ %
DISCSUR12
Sewer Backup Coverage Limit
SEWERLIMIT
Sewer Backup CoveragePremium
SEWERPREM
Sewer Backup Coverage Remarks
SEWER_REM
Earthquake Coverage Limit
EARTHLIMIT
Earthquake Coverage Premium
EARTHPREM
Earthquake Coverage Remarks
EARTH_REM
Guaranteed Replacement Cost Building- Coverage Limit
REPL_LIMIT
Guar. Rep. Cost Bldg. Cov. Premium
REPL_PREM
Guar. Rep. Cost Bldg. Cov. Remarks
REPL_REM
Replacement Cost Contents – Coverage Limit
REP2_LIMIT
Rep. Cost Contents – Cov. Premium
REP2_PREM
Rep. Cost Contents – Cov. Remarks
REP2_REM
Rental Income Coverage Limit
RENT_LIMIT
Rental Income Coverage Premium
RENT_PREM
Rental Income Coverage Remarks
RENT_REM
Mass Evacuation Coverage Limit
MASS_LIMIT
Mass Evacuation Coverage Premium
MASS_PREM
Mass Evacuation Coverage Remarks
MASS_REM
Condo Additional Protection Limit
NPAP_LIMIT
Condo Additional Protection Premium
NPAP_PREM
Condo Additional Protection Remarks
NPAP_REM
Dwelling Building Limit
DWELLING
Dwelling Building Premium
DWELPREM
Dwelling Building Remarks
DWEL_REM
Detached Private Structures Limit
STRUCTURES
Detached Private Structures Premium
STRUCTPREM
Detached Private Structures Remarks
STRUCT_REM
Personal Property Limit
PERSONAL
Personal Property Premium
PERSPREM
Personal Property Remarks
PERS_REM
Additional Living Expense Limit
ADDITIONAL
Additional Living Expense Premium
ADDIPREM
Additional Living Expense Remarks
ADDI_REM
Legal Liability Limit
LEGAL
Legal Liability Premium
LEGALPREM
Legal Liability Remarks
LEGAL_REM
Voluntary Medical Payments Limit
MEDICAL
Voluntary Medical Payments Premium
MEDPREM
Voluntary Medical Payments Remarks
MED_REM
Voluntary Property Damage Limit
P_DAMAGE
Voluntary Property Damage Premium
P_DAMPREM
Voluntary Property Damage Remarks
P_DAM_REM
Single Limit Policy Limit
SINGLE
Single Limit Policy Premium
SINGPREM
Single Limit Policy Remarks
SING_REM
Total Property Premium Amount
PREM_AMT
Additional Coverage 1 Description
HACOV1DESC
Additional Coverage 1 Limit
HACOV1LIM
Additional Coverage 1 Premium
HACOV1PREM
Additional Coverage 1 Remarks
HACOV1REM
Additional Coverage 2 Description
HACOV2DESC
Additional Coverage 2 Limit
HACOV2LIM
Additional Coverage 2 Premium
HACOV2PREM
Additional Coverage 2 Remarks
HACOV2REM
Additional Coverage 3 Description
HACOV3DESC
Additional Coverage 3 Limit
HACOV3LIM
Additional Coverage 3 Premium
HACOV3PREM
Additional Coverage 3 Remarks
HACOV3REM
Additional Coverage 4 Description
HACOV4DESC
Additional Coverage 4 Limit
HACOV4LIM
Additional Coverage 4 Premium
HACOV4PREM
Additional Coverage 4 Remarks
HACOV4REM
Additional Coverage 5 Description
HACOV5DESC
Additional Coverage 5 Limit
HACOV5LIM
Additional Coverage 5 Premium
HACOV5PREM
Additional Coverage 5 Remarks
HACOV5REM
Additional Coverage 6 Description
HACOV6DESC
Additional Coverage 6 Limit
HACOV6LIM
Additional Coverage 6 Premium
HACOV6PREM
Additional Coverage 6 Remarks
HACOV6REM
Additional Coverage 7 Description
HACOV7DESC
Additional Coverage 7 Limit
HACOV7LIM
Additional Coverage 7 Premium
HACOV7PREM
Additional Coverage 7 Remarks
HACOV7REM
Additional Coverage 8 Description
HACOV8DESC
Additional Coverage 8 Limit
HACOV8LIM
Additional Coverage 8 Premium
HACOV8PREM
Additional Coverage 8 Remarks
HACOV8REM
Additional Coverage 9 Description
HACOV9DESC
Additional Coverage 9 Limit
HACOV9LIM
Additional Coverage 9 Premium
HACOV9PREM
Additional Coverage 9 Remarks
HACOV9REM
Policy Deductible
DEDUCTIBLE
Policy Form Description
PACKAGE
Construction Type
CONSTR1
Year Built
YRBLT
Number of Families
NOFAM
Number of Storeys
NSTORY
Total Living Area
GRFLOOR
Replacement Cost
RCOST
Structure
STRUCTURE
Occupancy
OCCUPANCY
Town ID Code
TERCD
Distance to Fire Hydrant
HYD_DIST
Fire Hydrant Type
HYD_TYPE
Distance to Fire Hall
FH_DIST
Rating Method
RATING
Number of Rooms Rented
NOAPT
Fire Hall Name
RESFH
Fire Alarm
FIRE
Burglar Alarm
BURG
Smoke Alarm
SMOK
Sprinkler Code
SPLCD
Swimming Pool
SWIMMING
Renovation Upgrade – Electric
CDYR1
Renovation Upgrade – Heat
CDYR2
Renovation Upgrade – Plumbing
CDYR3
Renovation Upgrade – Roof
CDYR4
Renovation Upgrade – Other
CDYR5
Primary Heating Apparatus
PRIM_HEAT
Primary Fuel Type
PRIM_FUEL
Primary Heat Installed Professionally (Y/N)
HAIC
Under Construction (Y/N)
VCIND
Commercial Operation at this Location (Y/N)
BSIND
Auxiliary Heating Apparatus
AUX_HEAT
Auxiliary Fuel Type
AUX_FUEL
Auxiliary Heat Installed Professionally (Y/N)
HAIC2
Solid Fuel Questionnaire Attached (Y/N)
QUEST
CSA, ULC or WH Approved
CSA
Oil Tank Year
OIL
Residence Condition
RESIDENCE
Premises Access Security Code
SECUR
Construction Type II
CONSTR2
Construction Type III
CONSTR3
Business Exposure Type
BUS_TYPE
Number of Saddle / Draft Animals
ANIMALS
Daycare (Y / N)
DAYCARE
Daycare – Number of Children
CHILDREN
Incidental Office Use (Y/ N)
OFFUSE
Other Income Opportunities
OINCOME
Co-occupant Coverage Required (Y/N)
CO_OCC
Other Exposures (Y/N)
OTH_EXP
Remarks
REMARKS1
Remarks
REMARKS2
Remarks
REMARKS3
Remarks
REMARKS4
Remarks
REMARKS5
Remarks

REMARKS6COMMERCIAL BUSINESS POLICY DETAIL FORM TEMPLATE

Field Description

Merge Field Name
Customer Database
Current Date
DATE
Customer Name
NAME
Customer Salutation
SALUTE
Customer Home Address- Line 1
H_ADDRESS1
Customer Home Address – Line 2
H_ADDRESS2
Customer City and Province
H_CITYPROV
Customer Postal Code
H_POSTZIP
Customer Home Telephone
H_PHONE
Commercial Business Policy Database
Branch Office Code
BRANCHCODE
Branch Office Name
BRAN_NAME
Branch Office Address – Line 1
BRAN_ADD1
Branch Office Address – Line 2
BRAN_ADD2
Branch Office City and Province
BRAN_CITY
Branch Office Postal Code
BRAN_POST
Branch Office Telephone
BRAN_TEL
Branch Office Fax
BRAN_FAX
Tax Region
TAXZONE
Producer (from the Policy Screen)
Producer Name
PROD_NAME
Producer Title
PROD_TITLE
Producer Address – Line 1 & 2
PROD_ADD1
Producer City and Province
PROD_CITY
Producer Postal Code
PROD_POST
Producer Telephone
PROD_PHONE
Producer Cell Phone
PROD_CELL
Producer Code
PCODE
Producer Signature
SIG_PROD
Policy Database
Policy Number
POLICYNUM
Binder (Yes or No)
BINDER
Policy Holder Name
POLICYNAME
Insurer Database
Insurance Company Code
INS_CODE
Insurance Company Name
INS_NAME
Insurance Company Address – Line 1&2
INS_ADD1
Insurance Company City / Province
INS_CITY
Insurance Company Postal Code
INS_POSTAL
Insurance Company Telephone
INS_TEL
Insurance Company Fax
INS_FAX
Policy Database
Policy Effective Date
EFFECTIVE
Policy Expiry Date
EXPIRY
Policy Premium
PREMIUM
Tax Amount
PREM_TAX
Total Policy Premium
TOTAL_PREM
CSR Code
CSR_CODE
CSR Name
CSR_NAME
CSR Title
CSR_TITLE
Date Policy Last Updated
UPDATED
Agency / Direct Bill
AGEN_DIR
Line of Business Code
BUSCODE
Tax Percentage
TAX
Policy Cancelled (Y / N)
CANCELLED
Cancellation Date
CAN_DATE
Power Broker Operator (User)
C_OPERATOR
Property Database
Property Number
PRNO
Property Address
ADDRESS1
Property City / Province
CITYPROV
Property First Payee Name
PAYEE
First Payee Address
P_ADDRESS1
First Payee City / Province
P_CITYPROV
Second Payee Name
PAYEE2
Second Payee Address
P_ADDRESS2
Second Payee City / Province
P_CITY2
Third Payee
PAYEE3
Third Payee Address
P_ADDRESS3
Third Payee City / Province
P_CITY3
Ownership Detail – Line 1
OWNER1
Ownership Detail – Line 2
OWNER2
Ownership Detail – Line 3
OWNER3
Contact
CONTACT
Nature of Business – Line 1
NATURE1
Nature of Business – Line 2
NATURE2
Nature of Business – Line 3
NATURE3
Occupancy Details – Line 1
OCCUPANCY
Occupancy Details – Line 2
OCCUPANCY2
Occupancy by Others Remark – Line 1
REMARKS1
Occupancy by Others Remark – Line 2
REMARKS2
Occupancy by Others Remark – Line 3
REMARKS3
Occupancy by Others Remark – Line 4
REMARKS4
Occupancy by Others Remark – Line 5
REMARKS5
Additional Details – Line 1
REMARKS6
Additional Details – Line 2
REMARKS7
Additional Details – Line 3
REMARKS8
Additional Details – Line 4
REMARKS9
Property Year Built
YRBLT
Property Total Living Area
GRFLOOR
Property Primary Heat
PRIM_HEAT
Property Wall Construction
WALL
Property Roof Construction
ROOF
Property Floor Construction
FLOOR
Renovation Upgrade – Electric
CDYR1
Renovation Upgrade – Heat
CDYR2
Renovation Upgrade – Plumbing
CDYR3
Renovation Upgrade – Roof
CDYR4
Renovation Upgrade – Other
CDYR5
Equipment Schedule Database
Equipment Item 1 Description
DESC1
Date
DATE1
Item 1 Deductible
DED1
Item 1 Coverage Amount
AMT1
Equipment Item 2 Description
DESC2
Date
DATE2
Item 2 Deductible
DED2
Item 2 Coverage Amount
AMT2
Equipment Item 3 Description
DESC3
Date
DATE3
Item 3 Deductible
DED3
Item 3 Coverage Amount
AMT3
Equipment Item 4 Description
DESC4
Date
DATE4
Item 4 Deductible
DED4
Item 4 Coverage Amount
AMT4
Equipment Item 5 Description
DESC5
Date
DATE5
Item 5 Deductible
DED5
Item 5 Coverage Amount
AMT5
Equipment Item 6 Description
DESC6
Date
DATE6
Item 6 Deductible
DED6
Item 6 Coverage Amount
AMT6
Equipment Item 7 Description
DESC7
Date
DATE7
Item 7 Deductible
DED7
Item 7 Coverage Amount
AMT7
Equipment Item 8 Description
DESC8
Date
DATE8
Item 8 Deductible
DED8
Item 8 Coverage Amount
AMT8
Equipment Item 9 Description
DESC9
Date
DATE9
Item 9 Deductible
DED9
Item 9 Coverage Amount
AMT9
Equipment Item 10 Description
DESC10
Date
DATE10
Item 10 Deductible
DED10
Item 10 Coverage Amount
AMT10
Equipment Item 11 Description
DESC11
Date
DATE11
Item 11 Deductible
DED11
Item 11 Coverage Amount
AMT11
Equipment Item 12 Description
DESC12
Date
DATE12
Item 12 Deductible
DED12
Item 12 Coverage Amount
AMT12
Equipment Item 13 Description
DESC13
Date
DATE13
Item 13 Deductible
DED13
Item 13 Coverage Amount
AMT13
Equipment Item 14 Description
DESC14
Date
DATE14
Item 14 Deductible
DED14
Item 14 Coverage Amount
AMT14
Equipment Item 15 Description
DESC15
Date
DATE15
Item 15 Deductible
DED15
Item 15 Coverage Amount
AMT15
Equipment Item 16 Description
DESC16
Date
DATE16
Item 16 Deductible
DED16
Item 16 Coverage Amount
AMT16
Equipment Item 17 Description
DESC17
Date
DATE17
Item 17 Deductible
DED17
Item 17 Coverage Amount
AMT17
Equipment Item 18 Description
DESC18
Date
DATE18
Item 18 Deductible
DED18
Item 18 Coverage Amount
AMT18
Coverages Database
Cov. 1 Coverage Type Description
CDESC1
Coverage 1 Limit
LIMIT1
Coverage 1 Deductible
CDED1
Coverage 1 Premium
PREM1
Coverage 1 Remarks
CREM1
Cov. 2 Coverage Type Description
CDESC2
Coverage 2 Limit
LIMIT2
Coverage 2 Deductible
CDED2
Coverage 2 Premium
PREM2
Coverage 2 Remarks
CREM2
Cov. 3 Coverage Type Description
CDESC3
Coverage 3 Limit
LIMIT3
Coverage 3 Deductible
CDED3
Coverage 3 Premium
PREM3
Coverage 3 Remarks
CREM3
Cov. 4 Coverage Type Description
CDESC4
Coverage 4 Limit
LIMIT4
Coverage 4 Deductible
CDED4
Coverage 4 Premium
PREM4
Coverage 4 Remarks
CREM4
Cov. 5 Coverage Type Description
CDESC5
Coverage 5 Limit
LIMIT5
Coverage 5 Deductible
CDED5
Coverage 5 Premium
PREM5
Coverage 5 Remarks
CREM5
Cov. 6 Coverage Type Description
CDESC6
Coverage 6 Limit
LIMIT6
Coverage 6 Deductible
CDED6
Coverage 6 Premium
PREM6
Coverage 6 Remarks
CREM6
Cov. 7 Coverage Type Description
CDESC7
Coverage 7 Limit
LIMIT7
Coverage 7 Deductible
CDED7
Coverage 7 Premium
PREM7
Coverage 7 Remarks
CREM7
Cov. 8 Coverage Type Description
CDESC8
Coverage 8 Limit
LIMIT8
Coverage 8 Deductible
CDED8
Coverage 8 Premium
PREM8
Coverage 8 Remarks
CREM8
Cov. 9 Coverage Type Description
CDESC9
Coverage 9 Limit
LIMIT9
Coverage 9 Deductible
CDED9
Coverage 9 Premium
PREM9
Coverage 9 Remarks
CREM9
Cov. 10 Coverage Type Description
CDESC10
Coverage 10 Limit
LIMIT10
Coverage 10 Deductible
CDED10
Coverage 10 Premium
PREM10
Coverage 10 Remarks
CREM10
Cov. 11 Coverage Type Description
CDESC11
Coverage 11 Limit
LIMIT11
Coverage 11 Deductible
CDED11
Coverage 11 Premium
PREM11
Coverage 11 Remarks
CREM11
Cov. 12 Coverage Type Description
CDESC12
Coverage 12 Limit
LIMIT12
Coverage 12 Deductible
CDED12
Coverage 12 Premium
PREM12
Coverage 12 Remarks
CREM12
Cov. 13 Coverage Type Description
CDESC13
Coverage 13 Limit
LIMIT13
Coverage 13 Deductible
CDED13
Coverage 13 Premium
PREM13
Coverage 13 Remarks
CREM13
Cov. 14 Coverage Type Description
CDESC14
Coverage 14 Limit
LIMIT14
Coverage 14 Deductible
CDED14
Coverage 14 Premium
PREM14
Coverage 14 Remarks
CREM14
Cov. 15 Coverage Type Description
CDESC15
Coverage 15 Limit
LIMIT15
Coverage 15 Deductible
CDED15
Coverage 15 Premium
PREM15
Coverage 15 Remarks
CREM15
Cov. 16 Coverage Type Description
CDESC16
Coverage 16 Limit
LIMIT16
Coverage 16 Deductible
CDED16
Coverage 16 Premium
PREM16
Coverage 16 Remarks
CREM16
Cov. 17 Coverage Type Description
CDESC17
Coverage 17 Limit
LIMIT17
Coverage 17 Deductible
CDED17
Coverage 17 Premium
PREM17
Coverage 17 Remarks
CREM17
Cov. 18 Coverage Type Description
CDESC18
Coverage 18 Limit
LIMIT18
Coverage 18 Deductible
CDED18
Coverage 18 Premium
PREM18
Total Premium

PREMBAHAMAS AUTOMOBILE POLICY DETAIL FORM TEMPLATE

Policy Database Information

Policy Number
POLICYNUM
Binder (Yes or No)
BINDER
Policy Holder Name
POLICYNAME
Policy Effective Date
EFFECTIVE
Policy Expiry Date
EXPIRY
Policy Premium
PREMIUM
Tax Amount
PREM_TAX
Net Premium + Tax
TOTAL_PREM
CSR Code
CSR_CODE
CSR Name
CSR_NAME
CSR Email Address
CSR_EMAIL
CSR Title
CSR_TITLE
Last Updated
UPDATED
Agency or Direct Bill
AGEN_DIR
Line of Business Code
BUSCODE
Tax
TAX
Policy Cancelled
CANCELLED
Cancellation Date
CAN_DATE
Insurer Database Information

Vehicle Year
YEAR
Business Function
BUS_FUNC
Vehicle Make
MAKE
Vehicle Model
MODEL
Vehicle Territory
TERRITORY
Vehicle Displacement
DISPL
Vehicle Body Type
BODY_TYPE
Engine Size
CYLINDERS
Vehicle Identification Number
VIN
Vehicle Use
VEH_USE
Vehicle Lienholder / Lessor
LIENHOLDER
Vehicle Lienholder Address – Line 1
L_ADDRESS1
Vehicle Lienholder Address – Line 2
L_ADDRESS2
Vehicle Lienholder – Island
L_CITYPROV
Vehicle Number
VNO
% Vehicle Driven by Driver 1
DRIV1
% Vehicle Driven by Driver 2
DRIV2
% Vehicle Driven by Driver 3
DRIV3
% Vehicle Driven by Driver 4
DRIV4
% Vehicle Driven by Driver 5
DRIV5
Vehicle License Plate
LICENSE
Vehicle Purchase Date
DTPUR
Vehicle New / Used
NEWUSED
Vehicle Purchase Price
PURPR
Vehicle List Price
LIST
Carry Goods for Compensation (Y/N)
GOODS
Rent / Lease (Y/N)
RENT
Carry Passengers for Compensation (Y/N)
CARRY
Car Pool (Y/N)
CARUE
Anti-theft Device
ANTD
Modification (Y/N)
MODIN
Multi-car Discount (Y/N)
MULTI
Driver Database Information

Driver Name
DRNAME
Driver License Number
DRLICENSE
Driver Occupation Code
OCLCD
Driver Birth Date
DR_BIRTH
Driver Age
DR_AGE
Driver Sex (M/F)
DR_SEX
Driver Marital Status
DR_MARITAL
Preferred Driver
YOUNG_DR
License Class
CLASS
Years Licensed
YEARS_LIC
Driver Number
DRNO
Date First Licensed
FIRST_LIC
Number of Claims
NO_CLAIMS
Number of Convictions
NO_CONV
Years Licensed – Class Code #2
LICDT
Insurance Cancelled/Declined/Refused
INSCA
Age of Driver
DRTPL
Driving Experience
DRCOL
Disability (Y/N)
DISIN
Loss Experience)
DRTPD
License Suspension (Y/N)
LICSV
Cancelled/Refused Reason
RSVP_REM
Occupation
DRAB
Date First Licensed – Class Code #2
DTLIC
License Class Code #2
LICCD
Date First Licensed – Class Code #3
DTLIC3
License Class Code #3
LICCD3
Coverages Database
Bodily Injury Limit
BILIM
Property Damage Limit
PDLIM
Income Replacement Limit
IRLIM
Caregiver & Dependant Premium
CAREPREM
All Perils Deductible
APDED
Collision / Upset Deductible
COLLDED
Comprehensive Deductible
COMPDED
Specified Perils Deductible
SPDED
OEF 44 / QEF 34 Limit
OEF44LIM
Other Coverage #1 Description
OTH1
Other Coverage #1 Limit
OTH1LIM
Other Coverage # 1 Premium
OTH1PREM
Other Coverage #2 Description
OTH2
Other Coverage #2 Limit
OTH2LIM
Other Coverage # 2 Premium
OTH2PREM
Other Coverage #3 Description
OTH3
Other Coverage #3 Limit
OTH3LIM
Other Coverage # 3 Premium
OTH3PREM
Other Coverage #4 Description
OTH4
Other Coverage #4 Limit
OTH4LIM
Other Coverage #4 Premium
OTH4PREM
Other Coverage #5 Description
OTH5
Other Coverage #5 Limit
OTH5LIM
Other Coverage #5 Premium
OTH5PREM
Other Coverage #6 Description
OTH6
Other Coverage #6 Limit
OTH6LIM
Other Coverage #6 Premium
OTH6PREM
Other Coverage #7 Description
OTH7
Other Coverage #7 Limit
OTH7LIM
Other Coverage #7 Premium
OTH7PREM
Other Coverage #8 Description
OTH8
Other Coverage #8 Limit
OTH8LIM
Other Coverage #8 Premium
OTH8PREM
Vehicle Premium
VEH_PREM
Sum Insured
SUM_INS
Gross Premium Amount
GPREM_AMT
Additional Named Insured name
INAME
Additional Named Insured Address 1
ADDRESS1
Additional Named Insured Address 2
ADDRESS2
Additional Named Ins’d City/Prov
CITYPROV
Add’l Named Ins’d Postal / Zip Code

POSTZIPBAHAMAS AUTOMOBILE POLICY SUMMARY FORM TEMPLATE

Field Description
Merge Field Name
Vehicle Database
Vehicle 1 Year
YEAR1
Vehicle 1 Make
MAKE1
Vehicle 1 Model
MODEL1
Vehicle 1 Identification Number
VIN1
Vehicle 1 Use
VEH_USE1
Vehicle 1 License Plate
LICENSE1
Vehicle 1 Purchase Date
DTPUR1
Vehicle 1 Lienholder / Lessor
LIENHOLD1
Vehicle 1 Lienholder Island
L_CITY1
Vehicle 1 Number
VNO1
Vehicle 1 Value
PURPR1
Vehicle 1 Business Function
BUS_FUNC1
Vehicle 2 Year
YEAR2
Vehicle 2 Make
MAKE2
Vehicle 2 Model
MODEL2
Vehicle 2 Identification Number
VIN2
Vehicle 2 Use
VEH_USE2
Vehicle 2 License Plate
LICENSE2
Vehicle 2 Purchase Date
DTPUR2
Vehicle 2 Lienholder / Lessor
LIENHOLD2
Vehicle 2 Lienholder Island
L_CITY2
Vehicle 2 Number
VNO2
Vehicle 2 Value
PURPR2
Vehicle 2 Business Function
BUS_FUNC2
Vehicle 3 Year
YEAR3
Vehicle 3 Make
MAKE3
Vehicle 3 Model
MODEL3
Vehicle 3 Identification Number
VIN3
Vehicle 3 Use
VEH_USE3
Vehicle 3 License Plate
LICENSE3
Vehicle 3 Purchase Date
DTPUR3
Vehicle 3 Lienholder / Lessor
LIENHOLD3
Vehicle 3 Lienholder Island
L_CITY3
Vehicle 3 Number
VNO3
Vehicle 3 Value
PURPR3
Vehicle 3 Business Function
BUS_FUNC3
Vehicle 4 Year
YEAR4
Vehicle 4 Make
MAKE4
Vehicle 4 Model
MODEL4
Vehicle 4 Identification Number
VIN4
Vehicle 4 Use
VEH_USE4
Vehicle 4 License Plate
LICENSE4
Vehicle 4 Purchase Date
DTPUR4
Vehicle 4 Lienholder
LIENHOLD4
Vehicle 4 Lienholder Island
L_CITY4
Vehicle 4 Number
VNO4
Vehicle 4 Value
PURPR4
Vehicle 4 Business Function
BUS_FUNC4
Vehicle 5 Year
YEAR5
Vehicle 5 Make
MAKE5
Vehicle 5 Model
MODEL5
Vehicle 5 Identification Number
VIN5
Vehicle 5 Use
VEH_USE5
Vehicle 5 License Plate
LICENSE5
Vehicle 5 Purchase Date
DTPUR5
Vehicle 5 Lienholder
LIENHOLD5
Vehicle 5 Lienholder Island
L_CITY5
Vehicle 5 Number
VNO5
Vehicle 5 Value
PURPR5
Vehicle 5 Business Function
BUS_FUNC5
Driver Database Information

Vehicle Database
Vehicle 1 Protection & Removal
BILIM1
Vehicle 1 Death or Bodily Injury
IRLIM1
Vehicle 1 Claims – One Event
OEF44LIM1
Vehicle 1 Property Damage
PDLIM1
Vehicle 1 Medical Expenses
SPDED1
Vehicle 1 Section 1 – 4(a)
APDED1
Veh. 1 Section 1 (i) – Owned Damage
COMPDED1
Veh. 1 Section 1 (ii) – Driver
COLLDED1
Veh. 1 Gross Premium
CAREPREM1
Vehicle 1 Total Premium
PREMIUM1
Vehicle 2 Protection & Removal
BILIM2
Vehicle 2 Death or Bodily Injury
IRLIM2
Vehicle 2 Claims – One Event
OEF44LIM2
Vehicle 2 Property Damage
PDLIM2
Vehicle 2 Medical Expenses
SPDED2
Vehicle 2 Section 1 – 4(a)
APDED2
Veh. 2 Section 1 (i) – Owned Damage
COMPDED2
Veh. 2 Section 1 (ii) – Driver
COLLDED2
Veh. 2 Gross Premium
CAREPREM2
Vehicle 2 Total Premium
PREMIUM2
Vehicle 3 Protection & Removal
BILIM3
Vehicle 3 Death or Bodily Injury
IRLIM3
Vehicle 3 Claims – One Event
OEF44LIM3
Vehicle 3 Property Damage
PDLIM3
Vehicle 3 Medical Expenses
SPDED3
Vehicle 3 Section 1 – 4(a)
APDED3
Veh. 3 Section 1 (i) – Owned Damage
COMPDED3
Veh. 3 Section 1 (ii) – Driver
COLLDED3
Veh. 3 Gross Premium
CAREPREM3
Vehicle 3 Total Premium
PREMIUM3
Vehicle 4 Protection & Removal
BILIM4
Vehicle 4 Death or Bodily Injury
IRLIM4
Vehicle 4 Claims – One Event
OEF44LIM4
Vehicle 4 Property Damage
PDLIM4
Vehicle 4 Medical Expenses
SPDED4
Vehicle 4 Section 1 – 4(a)
APDED4
Veh. 4 Section 1 (i) – Owned Damage
COMPDED4
Veh. 4 Section 1 (ii) – Driver
COLLDED4
Veh. 4 Gross Premium
CAREPREM4
Vehicle 4 Total Premium
PREMIUM4
Vehicle 5 Protection & Removal
BILIM5
Vehicle 5 Death or Bodily Injury
IRLIM5
Vehicle 5 Claims – One Event
OEF44LIM5
Vehicle 5 Property Damage
PDLIM5
Vehicle 5 Medical Expenses
SPDED5
Vehicle 5 Section 1 – 4(a)
APDED5
Veh. 5 Section 1 (i) – Owned Damage
COMPDED5
Veh. 5 Section 1 (ii) – Driver
COLLDED5
Veh. 5 Gross Premium
CAREPREM5
Vehicle 5 Total Premium
PREMIUM5
Sum Insured
SUM_INS
Gross Premium Amount

GPREM_AMTBAHAMAS HABITATIONAL POLICY DETAIL FORM TEMPLATE

Field Description
Merge Field Name
Policy Database
Property Number
PRNO
Property Address
ADDRESS1
Property – Island
CITYPROV
Property First Payee Name
PAYEE
First Payee Address
P_ADDRESS1
First Payee – Island
P_CITYPROV
First Payee Nature of Interest
NATURE1
Second Payee Name
PAYEE2
Second Payee Address
P_ADDRESS2
Second Payee – Island
P_CITY2
Second Payee Nature of Interest
NATURE2
Third Payee
PAYEE3
Third Payee Address
P_ADDRESS3
Third Payee City and Province
P_CITY3
Third Payee Nature of Interest
NATURE3
Non-Smokers Discount Premium
SMOK_PREM
Non-Smokers Discount Remarks
SMOK_REM
Senior Citizen Discount Premium
SEN_PREM
Senior Citizen Discount Remarks
SEN_REM
Claims Free Discount Premium
CLAIM_PREM
Claims Free Discount Remarks
CLAIM_REM
New Home Discount Premium
NEWH_PREM
New Home Discount Remarks
NEWH_REM
Multiple Policy Discount Premium
MP_PREM
Multiple Policy Discount Remarks
MP_REM
Premises Alarm Discount Premium
BURG_PREM
Premises Alarm Discount Remarks
BURG_REM
Employer’s Liability Limit
SEWERLIMIT
Employer’s Liability Premium
SEWERPREM
Employer’s Liability Remarks
SEWER_REM
Catastrophic Perils Limit
EARTHLIMIT
Catastrophic Perils Premium
EARTHPREM
Catastrophic Perils Remarks
EARTH_REM
Pedal Cycles – Coverage Limit
REPL_LIMIT
Pedal Cycles – Coverage Premium
REPL_PREM
Pedal Cycles – Coverage Remarks
REPL_REM
Satellite Receiver – Coverage Limit
REP2_LIMIT
Satellite Receiver – Coverage Premium
REP2_PREM
Satellite Receiver – Coverage Remarks
REP2_REM
Acc. Dge./P. Acc./ Ten. Liab. Limit
RENT_LIMIT
Acc. Dge./P. Acc./ Ten. Liab. Premium
RENT_PREM
Acc. Dge./P. Acc./ Ten. Liab. Remarks
RENT_REM
Full Theft – Coverage Limit
MASS_LIMIT
Full Theft – Coverage Premium
MASS_PREM
Full Theft – Coverage Remarks
MASS_REM
Money / Credit Cards Limit
NPAP_LIMIT
Money / Credit Cards Premium
NPAP_PREM
Money / Credit Cards Remarks
NPAP_REM
Buildings / Outbuildings Limit
DWELLING
Buildings / Outbuildings Premium
DWELPREM
Deductible ‘B’
DEDUCT2
Seawalls/Retaining Walls – Limit
STRUCTURES
Seawalls/Retaining Walls – Premium
STRUCTPREM
Deductible ‘C’
DEDUCT3
Contents – Limit
PERSONAL
Contents – Premium
PERSPREM
Deductible %
CDYR2
All Risk – Limit
ADDITIONAL
All Risk – Premium
ADDIPREM
Public Liability Limit
LEGAL
Public Liability Premium
LEGALPREM
Dock / Jetties – Limit
MEDICAL
Dock / Jetties – Premium
MEDPREM
Loss of Rent / Alternative Accommodations Limit
SINGLE
Loss of Rent / Alternative Accommodations Premium
SINGPREM
Loss of Rent/ Alternative Accommodations Remarks
SING_REM
Total Property Premium Amount
PREM_AMT
Additional Coverage 1 Description
HACOV1DESC
Additional Coverage 1 Limit
HACOV1LIM
Additional Coverage 1 Premium
HACOV1PREM
Additional Coverage 1 Remarks
HACOV1REM
Additional Coverage 2 Description
HACOV2DESC
Additional Coverage 2 Limit
HACOV2LIM
Additional Coverage 2 Premium
HACOV2PREM
Additional Coverage 2 Remarks
HACOV2REM
Additional Coverage 3 Description
HACOV3DESC
Additional Coverage 3 Limit
HACOV3LIM
Additional Coverage 3 Premium
HACOV3PREM
Additional Coverage 3 Remarks
HACOV3REM
Additional Coverage 4 Description
HACOV4DESC
Additional Coverage 4 Limit
HACOV4LIM
Additional Coverage 4 Premium
HACOV4PREM
Additional Coverage 4 Remarks
HACOV4REM
Additional Coverage 5 Description
HACOV5DESC
Additional Coverage 5 Limit
HACOV5LIM
Additional Coverage 5 Premium
HACOV5PREM
Additional Coverage 5 Remarks
HACOV5REM
Additional Coverage 6 Description
HACOV6DESC
Additional Coverage 6 Limit
HACOV6LIM
Additional Coverage 6 Premium
HACOV6PREM
Additional Coverage 6 Remarks
HACOV6REM
Additional Coverage 7 Description
HACOV7DESC
Additional Coverage 7 Limit
HACOV7LIM
Additional Coverage 7 Premium
HACOV7PREM
Additional Coverage 7 Remarks
HACOV7REM
Additional Coverage 8 Description
HACOV8DESC
Additional Coverage 8 Limit
HACOV8LIM
Additional Coverage 8 Premium
HACOV8PREM
Additional Coverage 8 Remarks
HACOV8REM
Additional Coverage 9 Description
HACOV9DESC
Additional Coverage 9 Limit
HACOV9LIM
Additional Coverage 9 Premium
HACOV9PREM
Additional Coverage 9 Remarks
HACOV9REM
Policy Deductible
DEDUCTIBLE
Policy Form Description
PACKAGE
Construction Type
CONSTR1
Year Built
YRBLT
Number of Families
NOFAM
Number of Stories
NSTORY
Total Living Area
GRFLOOR
Replacement Cost
RCOST
Structure
STRUCTURE
Occupancy
OCCUPANCY
Number of Rooms
NORMS
Sprinkler (Y/N)
PDKCD
Number of Servants – Inside
RESEM
Number of Servants – Outside
SR_OUT
Number of Servants – Chauffeur
SR_CHAUF
Number of Rooms Rented
NOAPT
Number of Servants – Occasional
SR_OCCL
Fire Alarm
FIRE
Burglar Alarm
BURG
Smoke Alarm
SMOK
Sprinkler Code
SPLCD
Swimming Pool
SWIMMING
Renovation Upgrade – Electric
CDYR1
Renovation Upgrade – Plumbing
CDYR3
Renovation Upgrade – Roof
CDYR4
Renovation Upgrade – Other
CDYR5
Under Construction (Y/N)
VCIND
Commercial Operation at this Location (Y/N)
BSIND
Residence Condition
RESIDENCE
Construction Type II
CONSTR2
Construction Type III
CONSTR3
Business Exposure Type
BUS_TYPE
Number of Saddle / Draft Animals
ANIMALS
Daycare (Y / N)
DAYCARE
Daycare – Number of Children
CHILDREN
Incidental Office Use (Y/ N)
OFFUSE
Other Income Opportunities
OINCOME
Co-occupant Coverage Required (Y/N)
CO_OCC
Other Exposures (Y/N)
OTH_EXP
Remarks
REMARKS1
Remarks
REMARKS2
Remarks
REMARKS3
Remarks
REMARKS4
Remarks
REMARKS5
Remarks
REMARKS6
Sum Insured
SUM_INS
Gross Premium

GPREM_AMTWATERCRAFT FORM TEMPLATE

Field Description
Merge Field Name

Watercraft Class Desc. / Code
W1_WCCD
Watercraft Year
W1_YEAR
Watercraft Manufacturer
W1_MANU
Watercraft Make / Model
W1_MODEL
Watercraft Identification / Serial No.
W1_SERIAL
Watercraft Type Desc. / Code
W1_WTYCD
Watercraft Style Desc. / Code
W1_WSTCD
Watercraft Construction Desc. / Code
W1_WCTPC
Watercraft CSA (Y/N)
W1_CSA
Watercraft Length
W1_LENG
Watercraft Use Desc. / Code
W1_PRVW
Watercraft Purchase Date
W1_DATEP
Watercraft Purchased New or Used
W1_PNIND
Watercraft Purchase Price
W1_PURCH
Watercraft Replacement Value
W1_RCOST
Watercraft Value of Non-Standard Equip.
W1_VAEQU
Watercraft Value of Contents in Price
W1_ VACON
Watercraft Operator Number
W1_OPER
Watercraft Engine Displacement
W1_DISPL
Watercraft Engine Horse Power
W1_HORSE
Watercraft Maximum Speed
W1_SPEED
Watercraft Waters Navigated
W1_WATERS
Watercraft Navigation Period Begins
W1_NAVB
Watercraft Navigation Period Ends
W1_NAVE
Watercraft Used for Water Skiing
W1_WSKI
Watercraft Lienholder Name
W1_LIEN
Watercraft Lienholder Address Line 1
W1_ADD1
Watercraft Lienholder Address Line 2
W1_ADD2
Watercraft Lienholder City
W1_CITY
Watercraft Lienholder Province Code
W1_PROV
Watercraft Lienholder Postal Code
W1_POST
Watercraft Lienholder Nature of Interest
W1_INT
Watercraft Coverage Desc. / Code
W1_COV1
Watercraft Amount of Insurance
W1_AMT1
Watercraft Deductible Amount
W1_DED1
Watercraft Deductible Type
W1_DTYPE1
Watercraft Basis of Settlement
W1_RC1
Watercraft Premium
W1_PREM1
Watercraft 2 Class Desc. / Code
W2_WCCD
Watercraft 2 Year
W2_YEAR
Watercraft 2 Manufacturer
W2_MANU
Watercraft 2 Make / Model
W2_MODEL
Watercraft 2 Identification / Serial No.
W2_SERIAL
Watercraft 2 Type Desc. / Code
W2_WTYCD
Watercraft 2 Style Desc. / Code
W2_WSTCD
Watercraft 2 Construction Desc. / Code
W2_WCTPC
Watercraft 2 CSA (Y/N)
W2_CSA
Watercraft 2 Length
W2_LENG
Watercraft 2 Use Desc. / Code
W2_PRVW
Watercraft 2 Purchase Date
W2_DATEP
Watercraft 2 Purchased New or Used
W2_PNIND
Watercraft 2 Purchase Price
W2_PURCH
Watercraft 2 Replacement Value
W2_RCOST
Watercraft 2 Value Non-Standard Equip
W2_VAEQU
Watercraft 2 Value of Contents in Price
W2_ VACON
Watercraft 2 Operator Number
W2_OPER
Watercraft 2 Engine Displacement
W2_DISPL
Watercraft 2 Engine Horse Power
W2_HORSE
Watercraft 2 Maximum Speed
W2_SPEED
Watercraft 2 Waters Navigated
W2_WATERS
Watercraft 2 Navigation Period Begins
W2_NAVB
Watercraft 2 Navigation Period Ends
W2_NAVE
Watercraft 2 Used for Water Skiing
W2_WSKI
Watercraft 2 Lienholder Name
W2_LIEN
Watercraft 2 Lienholder Address Line 1
W2_ADD1
Watercraft 2 Lienholder Address Line 2
W2_ADD2
Watercraft 2 Lienholder City
W2_CITY
Watercraft 2 Lienholder Province Code
W2_PROV
Watercraft 2 Lienholder Postal Code
W2_POST
Watercraft 2 Lienholder Nature of Interest
W2_INT
Watercraft 2 Coverage Desc. / Code
W2_COV1
Watercraft 2 Amount of Insurance
W2_AMT1
Watercraft 2 Deductible Amount
W2_DED1
Watercraft 2 Deductible Type
W2_DTYPE1
Watercraft 2 Basis of Settlement
W2_RC1
Watercraft 2 Premium
W2_PREM1
Watercraft 3 Class Desc. / Code
W3_WCCD
Watercraft 3 Year
W3_YEAR
Watercraft 3 Manufacturer
W3_MANU
Watercraft 3 Make / Model
W3_MODEL
Watercraft 3 Identification / Serial No.
W3_SERIAL
Watercraft 3 Type Desc. / Code
W3_WTYCD
Watercraft 3 Style Desc. / Code
W3_WSTCD
Watercraft 3 Construction Desc. / Code
W3_WCTPC
Watercraft 3 CSA (Y/N)
W3_CSA
Watercraft 3 Length
W3_LENG
Watercraft 3 Use Desc. / Code
W3_PRVW
Watercraft 3 Purchase Date
W3_DATEP
Watercraft 3 Purchased New or Used
W3_PNIND
Watercraft 3 Purchase Price
W3_PURCH
Watercraft 3 Replacement Value
W3_RCOST
Watercraft 3 Value of Non-Standard Equip.
W3_VAEQU
Watercraft 3 Value of Contents in Price
W3_ VACON
Watercraft 3 Operator Number
W3_OPER
Watercraft 3 Engine Displacement
W3_DISPL
Watercraft 3 Engine Horse Power
W3_HORSE
Watercraft 3 Maximum Speed
W3_SPEED
Watercraft 3 Waters Navigated
W3_WATERS
Watercraft 3 Navigation Period Begins
W3_NAVB
Watercraft 3 Navigation Period Ends
W3_NAVE
Watercraft 3 Used for Water Skiing
W3_WSKI
Watercraft 3 Lienholder Name
W3_LIEN
Watercraft 3 Lienholder Address Line 1
W3_ADD1
Watercraft 3 Lienholder Address Line 2
W3_ADD2
Watercraft 3 Lienholder City
W3_CITY
Watercraft 3 Lienholder Province Code
W3_PROV
Watercraft 3 Lienholder Postal Code
W3_POST
Watercraft 3 Lienholder Nature of Interest
W3_INT
Watercraft 3 Coverage Desc. / Code
W3_COV1
Watercraft 3 Amount of Insurance
W3_AMT1
Watercraft 3 Deductible Amount
W3_DED1
Watercraft 3 Deductible Type
W3_DTYPE1
Watercraft 3 Basis of Settlement
W3_RC1
Watercraft 3 Premium
W3_PREM1
Watercraft Coverage Desc. / Code 6
W1_COV2
Watercraft Amount of Insurance 6
W1_AMT2
Watercraft Deductible Amount 6
W1_DED2
Watercraft Deductible Type 6
W1_DTYPE2
Watercraft No. Coverages Applies to 6
W1_RC2
Watercraft Premium 6
W1_PREM2
Watercraft Discount/ Surcharge 6
W1_DISC2
Watercraft Coverage Desc. / Code 7
W1_COV3
Watercraft Amount of Insurance 7
W1_AMT3
Watercraft Deductible Amount 7
W1_DED3
Watercraft Deductible Type 7
W1_DTYPE3
Watercraft No. Coverages Applies to 7
W1_RC3
Watercraft Premium 7
W1_PREM3
Watercraft Discount/ Surcharge 7
W1_DISC3
Watercraft Coverage Desc. / Code 8
W1_COV4
Watercraft Amount of Insurance 8
W1_AMT4
Watercraft Deductible Amount 8
W1_DED4
Watercraft Deductible Type 8
W1_DTYPE4
Watercraft No. Coverages Applies to 8
W1_RC4
Watercraft Premium 8
W1_PREM4
Watercraft Discount/ Surcharge 8
W1_DISC4
Watercraft Coverage Desc. / Code 9
W1_COV5
Watercraft Amount of Insurance 9
W1_AMT5
Watercraft Deductible Amount 9
W1_DED5
Watercraft Deductible Type 9
W1_DTYPE5
Watercraft No. Coverages Applies to 9
W1_RC5
Watercraft Premium 9
W1_PREM5
Watercraft Discount/ Surcharge 9
W1_DISC5
Watercraft Coverage Desc. / Code 10
W1_COV6
Watercraft Amount of Insurance 10
W1_AMT6
Watercraft Deductible Amount 10
W1_DED6
Watercraft Deductible Type 10
W1_DTYPE6
Watercraft No. Coverages Applies to 10
W1_RC6
Watercraft Premium 10
W1_PREM6
Watercraft Discount / Surcharge 10
W1_DISC6
Watercraft Coverage Desc. / Code 11
W1_COV7
Watercraft Amount of Insurance 11
W1_AMT7
Watercraft Deductible Amount 11
W1_DED7
Watercraft Deductible Type 11
W1_DTYPE7
Watercraft No. Coverages Applies to 11
W1_RC7
Watercraft Premium 11
W1_PREM7
Watercraft Discount/ Surcharge 11
W1_DISC7
Operator 1 Name
W1_OPNAME
Operator 1 Birth Date
W1_OPBIRDT
Operator 1 Driver’s License Number
W1_OPLICNO
Operator 1 License Province
W1_OPLICPV
Operator 1 License Type
W1_OPLICTP
Operator 1 Sailing School Certificate (Y/N)
W1_OPSAIL
Operator 1 Power Squadron Certificate (Y/N)
W1_OPPOW
Operator 1 Canadian Coast Guard (Y/N)
W1_OPCST
Operator 1 Certificate Number
W1_OPCERT
Operator 1 MVR Date
W1_OPMVR
Operator 2 Name
W2_OPNAME
Operator 2 Birth Date
W2_OPBIRDT
Operator 2 Driver’s License Number
W2_OPLICNO
Operator 2 License Province
W2_OPLICPV
Operator 2 License Type
W2_OPLICTP
Operator 2 Sailing School Certificate (Y/N)
W2_OPSAIL
Operator 2 Power Squadron Certificate (Y/N)
W2_OPPOW
Operator 2 Canadian Coast Guard (Y/N)
W2_OPCST
Operator 2 Certificate Number
W2_OPCERT
Operator 2 MVR Date
W2_OPMVR
Operator 3 Name
W3_OPNAME
Operator 3 Birth Date
W3_OPBIRDT
Operator 3 Driver’s License Number
W3_OPLICNO
Operator 3 License Province
W3_OPLICPV
Operator 3 License Type
W3_OPLICTP
Operator 3 Sailing School Certificate (Y/N)
W3_OPSAIL
Operator 3 Power Squadron Certificate (Y/N)
W3_OPPOW
Operator 3 Canadian Coast Guard (Y/N)
W3_OPCST
Operator 3 Certificate Number
W3_OPCERT
Operator 3 MVR Date
W3_OPMVR
Operator 4 Name
W4_OPNAME
Operator 4 Birth Date
W4_OPBIRDT
Operator 4 Driver’s License Number
W4_OPLICNO
Operator 4 License Province
W4_OPLICPV
Operator 4 License Type
W4_OPLICTP
Operator 4 Sailing School Certificate (Y/N)
W4_OPSAIL
Operator 4 Power Squadron Certificate (Y/N)
W4_OPPOW
Operator 4 Canadian Coast Guard (Y/N)
W4_OPCST
Operator 4 Certificate Number
W4_OPCERT
Operator 4 MVR Date
W4_OPMVR
Operator 5 Name
W5_OPNAME
Operator 5 Birth Date
W5_OPBIRDT
Operator 5 Driver’s License Number
W5_OPLICNO
Operator 5 License Province
W5_OPLICPV
Operator 5 License Type
W5_OPLICTP
Operator 5 Sailing School Certificate (Y/N)
W5_OPSAIL
Operator 5 Power Squadron Certificate (Y/N)
W5_OPPOW
Operator 5 Canadian Coast Guard (Y/N)
W5_OPCST
Operator 5 Certificate Number
W5_OPCERT
Operator 5 MVR Date
W5_OPMVR

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