New Jersey Administrative Code
Title 13 - LAW AND PUBLIC SAFETY
Chapter 88 - OFFICE OF INSURANCE FRAUD PROSECUTOR
Subchapter 2 - INSURER REPORTING REQUIREMENTS
Appendix - APPENDIX
ISO UNIVERSAL FORMAT
ISO Universal Format Field Name
Insurance Company (ISO assigned code)
Policy Number
Policy Type
Claim Number
Date of Loss
Location of Loss Address (incl. State)
First Name (Choose either Role IN, CI)
Last Name (Choose either Role IN, CI)
Business Name (Choose either Role IN, CI)--required if a Business
Address Information
City
State
First Name (Role CL)
Last Name (Role CL)
Address Information
City
State
First Name (Choose Role from ISO Appendix C)
Last Name (Choose Role from ISO Appendix C)
Business Name (Choose Role from ISO Appendix C)
Address Information
City
State
Coverage Type
Loss Type
Alleged Injuries/Property Damage
Vehicle Year
Vehicle Make (Abbrev.)
VIN
Date of Recovery (Theft)
Vehicle Make
Recovery Agency
Condition of Recovered Vehicle (Theft)
VIN
Owner Retaining Salvage Indicator
Date of Salvage
Buyers Business Name OR
Last and First Name (if owner did not retain salvage)
Role in Claim
Role in the Claim; if Service Providers reported with claim, their names, address required
Individual/Business Indicator
Business Name (if a Business)
Last Name
First Name
City
State
