Form Field Map: Workers Compensation Application (ACORD 130)

Workers Compensation information from specific fields in AMS360 appears in corresponding ACORD 130 form fields. You can refer to the following sample of the ACORD 130  Workers Compensation Application form to determine the corresponding AMS360 fields.

plus.bmpACORD 130 with Images of the Policy Data Entry Sections

Or you may refer to a selection of images from the AMS360 user interface to determine which fields on the ACORD 130 form correspond to the depicted fields from AMS360.

plus.bmpPolicy Data Entry Sections with Images of the ACORD 130