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Version No.1.0
Date: 08/28/2006
REPORTS SPECIFICATION
Customer Name
Report Name
Option 2
Class of Business To
Line of Business To
State To
Agent To
Loss Payment Date To
Policy State
ASL
Source Table
[Optional]
This column lists the claim number. The claim no. may be
repeated in case multiple payments are made.
The policy number to which the claim pertains to. The policy
no. should be printed without the edition nos. or the
endorsement nos.
The name of the primary named insured in the policy.
The amount paid through the check.
The type of payment is the type of reserve for which the
payment was made, namely:
1. Paid Loss
2. Paid DCC
3. Paid AO
This is the state for which the policy has been issued. The
Policy State is the Policy State mentioned in the policy
issued. The state code is printed in this column i.e. MD or DC.
ASL is the Annual Statement Line the claim is pertaining to,
namely:
1. 040 Homeowners
2. 050 Commercial Multi Peril (BOP)
3. 090 Inland Marine (Not required currently)
4. 170 General Liability (Umbrellas)
Name and address of the Payee as captured in the Claims
Payment Screen.
The address field that will be displayed in the report are:
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Document No.
Version No.1.0
Date: 08/28/2006
REPORTS SPECIFICATION
Check Wording
Other Information
Total
Group By
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Print Details
Report Type
Print Type
Paper Size
8.5 x 11
Other Details
Layout - Excel Output required
Prepared By
Approved By
Date
Author:
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