US1757094A - Insurance-policy form - Google Patents
Insurance-policy form Download PDFInfo
- Publication number
- US1757094A US1757094A US298485A US29848528A US1757094A US 1757094 A US1757094 A US 1757094A US 298485 A US298485 A US 298485A US 29848528 A US29848528 A US 29848528A US 1757094 A US1757094 A US 1757094A
- Authority
- US
- United States
- Prior art keywords
- policy
- sheets
- insurance
- sheet
- relation
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Lifetime
Links
- 239000003795 chemical substances by application Substances 0.000 description 3
- OKTJSMMVPCPJKN-UHFFFAOYSA-N Carbon Chemical compound [C] OKTJSMMVPCPJKN-UHFFFAOYSA-N 0.000 description 2
- 229910052799 carbon Inorganic materials 0.000 description 2
- 150000001768 cations Chemical class 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 239000004576 sand Substances 0.000 description 1
Images
Classifications
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B42—BOOKBINDING; ALBUMS; FILES; SPECIAL PRINTED MATTER
- B42D—BOOKS; BOOK COVERS; LOOSE LEAVES; PRINTED MATTER CHARACTERISED BY IDENTIFICATION OR SECURITY FEATURES; PRINTED MATTER OF SPECIAL FORMAT OR STYLE NOT OTHERWISE PROVIDED FOR; DEVICES FOR USE THEREWITH AND NOT OTHERWISE PROVIDED FOR; MOVABLE-STRIP WRITING OR READING APPARATUS
- B42D15/00—Printed matter of special format or style not otherwise provided for
- B42D15/0033—Owner certificates, insurance policies, guarantees
Definitions
- V ⁇ My invention relates to improvements in insurance policyforins wherein as'heetfoldj able along a transverse centerline .and iinfront and back portions of the policyandV Y held attached to said front and backportions:
- the primary object of my invention is to I provide lan improved insurance policy form.
- Anotherobject is to ⁇ provide, an improved forrn-wherein triplicate v.sheets are .formed vrfrom a single sheet as parts of an insurance ⁇ policy, saidsheets being folded into-accurate-V .lledout y n Y
- a furtherobject-is to-provide anV improved form which will facilitatel printing and numbering of policies and which will-insure conformity-as to the numbering of thetriplicate sheets of the policy.
- VAnother object is to provide-an improved policy which will facilitate thegathering of the Vprinted sheets, and which will insure against the loss or inisplacingof any of the sheets ⁇ of; al ;po licy. ⁇ j Y v
- a still 'further object is to provide animproved policy which will facilitate the insertion of carbon paper and the lillingout of the policy and the daily report and agents i record sheets forming a part thereof.
- the daily reportk sheet is imprintedy upon its baclcas appearingv in Fig. l Aofthe drawings with a forrn corresponding to the forni Lprinted upony the face 1 ofthe policy, and the agents record sheett is imprinted with a cory responding forinprinted upon the upper side of the sheet as shown in Fig. 1 but readable from thel opposite' directiorrf
- the forinsare Y- incorresponding relation to the'topand sides willfeXact-ly ⁇ register.
- FIG. 3 is a broken plan view of the folded jthefrontand'backportions policy, partsbeingfbrokenaway to showthe l l ⁇ upon o1iesideof said body.
- the ⁇ rnainzbody is arranged-tube folded"l along' autransverse Vcenterline as indicated by thel clot 'and dash of the..
- the policy and the sheets 3 and 4 are all numbered to correspondgiandpas i-t is essen,-l tial thatfan accurate record be kept of all policies, it isfhiglily important that the nurnbering ,of the.'sheets eonitornes and that all u jsheetsare present when fthe poflicylis'flilledA out: ⁇ lVhe-re'the slieets'arej printed separate ly; as in they common-practice heretofore, the .printed sheetslniust-bekgathered andstuled.
- Vhen the policy isfolded-to nornial relation* as "shown iin Figa, 3 of the drawings, Vthe sheets Sand 4are bound together along their V upper edges Within the fold of the'body' of the policy, and ⁇ at the's'anietimeVthe sheets vare held attached to the back of the policy. This insures that the fornis printed upon theface of thepolicy Aandupon-'sheets and 4 will be heldin accurately registered relation.
- y foini comprising a body portiqn l'iav-ingalii-ie oli-fold coincident ingredgeof the facejporti'on and having a perforated line of fold coinciding, with the 1,757,094 i' g Y' transverse ccnterlnepof the extension and orining a continuation of the transverse centerline of the body; and entry forms printed upon the extension upon opposite faces there- ,of having' entrylspaces disposed and des ignated "similarlyl to the entry spaces ofthe f policy face andbeing oldable to matchingl relation*toeaeho'ther/andlto the policy face ⁇ for duplicating"entries by ineans of inter- Vposedcarboii' material.
- Anii'isui'a'nce policy form comprising a Y bodyiportion l having a line of fold coincident with yits transverse center line to orin face and vback portions-"ofthe policy and printed with suitable subject; matterfincludingf an V'eilitry vkformipr-inted upon the face. to torni entry spaces; a 'lateral extensionlforined upon one -sideoat the body and -j oined-thereto along n a?perforatedzlineolitold entending along one side of the backportienand:de nilngthe lon-r gitudinal centerline oztthe body and?
Landscapes
- Financial Or Insurance-Related Operations Such As Payment And Settlement (AREA)
Description
May 6, 1930.
V. F. PoLLAK INSURANCE POLIGY FORM Filed Aug. 9.A 1928 Annul rw-mas Y.: im
www IMI-rrd Minid ANHdNOJ JDNUHHSN :will n" lla H83/ 4Patentedl May 6;,19304 p Y y vlc'ronr;` `14oLLA'iigfoF sAiI remorse@CAILFORNIAV;
n INSURANCE-renferment A Application alea august 9515528. serial' n1298485.
V`My invention relates to improvements in insurance policyforins wherein as'heetfoldj able along a transverse centerline .and iinfront and back portions of the policyandV Y held attached to said front and backportions:
`unt-il the policy is to befilled out.
The primary object of my invention is to I provide lan improved insurance policy form.
Anotherobject is to` provide, an improved forrn-wherein triplicate v.sheets are .formed vrfrom a single sheet as parts of an insurance` policy, saidsheets being folded into-accurate-V .lledout y n Y A furtherobject-is to-provide anV improved form which will facilitatel printing and numbering of policies and which will-insure conformity-as to the numbering of thetriplicate sheets of the policy. VAnother object is to provide-an improved policy which will facilitate thegathering of the Vprinted sheets, and which will insure against the loss or inisplacingof any of the sheets` of; al ;po licy.{ j Y v A still 'further object is to provide animproved policy which will facilitate the insertion of carbon paper and the lillingout of the policy and the daily report and agents i record sheets forming a part thereof.
means of the improved device disclosed inthe cation wherein like characters of reference are used to designate similarparts through-i5 with the daily report and agents record sheets i Y folded against the body of the policy; and
ly registering relation andbeing held .to-I.. gether until suchtirne asthe policy is to be A forat'ed line of fold 7 whereby thesheets` drawings forniinga partofithe present appliy afprintedl blank` manner 1in whichthesheets register. v Y
, Referring tothe dra-wings, yiny improved insurancel forniv Yci'iniprisesa faceY portionjl;v f aback portion 2,'adailytl report sheet 3, and an"a'gents-recordsheet-e. v The several por? tions of the Vpolicy `are imprinted upon a sin-r` gle-blank asindicated `in Fig. 1 ofthe draws.
ings, the lfront and back portions l and 2' `con,v
,stituting the main body ofy the-policy andthe f SheetsBB-and beingfornied as an extension"V line in '.Fig. vl. The extension upon :thesidc of the bodyis perforated vas atk 5 along va prolongation of the transverse centerline ofthe body ofthe policy,to form thesheets 3: and
4. The sheet is'severed as at 6 from't-hev side of the faceportion l, `and the sheet l is attached to the back portion 2 along a -perf) and 4 Inay be folded againstithe baclcof Vthe l portion as *showny in' Fig. 2 of the drawings.y j f; Y
The daily reportk sheet is imprintedy upon its baclcas appearingv in Fig. l Aofthe drawings with a forrn corresponding to the forni Lprinted upony the face 1 ofthe policy, andthe agents record sheett is imprinted with a cory responding forinprinted upon the upper side of the sheet as shown in Fig. 1 but readable from thel opposite' directiorrf The forinsare Y- incorresponding relation to the'topand sides willfeXact-ly` register. with theV form 'of the Vface 'lofithe-policy, and when the policy VLis folded along its transversecenterline, to :theno'r1nalgrelation-jshowninFigr3 ofthe f drawings, 4the faceportion l'and sheet B will Y .v ,registerexactly `with'the sheet t` whichis at-l tached along theperforated line fof fold 7,;
registered superimposed relation, yand all facedinthe same direction. u x
4'Ihefblanl from which the policy is formed is cut tofpiovide the vstandard ,policy size for u50 Fig. 3 is a broken plan view of the folded jthefrontand'backportions policy, partsbeingfbrokenaway to showthe l l `upon o1iesideof said body. The `rnainzbody is arranged-tube folded"l along' autransverse Vcenterline as indicated by thel clot 'and dash of the.. sheets softhatwhen thesheetsandv 5 @are folded against ,the back of the policy body as'shown in -Figl21 the forinof sheet 3 I accomplish theseandrother objects by I ktherebyholdingthethreefornisinaccurately 95 i A sheets 3 and4 are inade of standard letter size, notches being cut in the corners to provide the proper lengthfoi the sheets 3 and4. T he i policy contract, blank forms,V and other` sub'- ject inatter Vis imprinted upon the body portions l and 2, While the corresponding forms and other. subject- -inatterfis imprinted upon 1 the sheets-3-aiid4 as in the comino-n practice, the printing however` being accoinplishediby printing the body; andthe sheets. 3 and 4 to-V gether, thereby reducing the number of runs 5 which must be inade to print Vtheentire policy.
'i The policy and the sheets 3 and 4 are all numbered to correspondgiandpas i-t is essen,-l tial thatfan accurate record be kept of all policies, it isfhiglily important that the nurnbering ,of the.'sheets eonitornes and that all u jsheetsare present when fthe poflicylis'flilledA out:` lVhe-re'the slieets'arej printed separate ly; as in they common-practice heretofore, the .printed sheetslniust-bekgathered andstuled.
If one sheet f is gathered 5 incorrectly,V as by i tu lce
`entryspa'ces;` and aj lateral extensiony `formed v and all lthe sheets areheld inattachnaent with eachother so that a' siinpl'e folding process takes thefplace of f the usual Ygathering and stu'hng ot'tl'iesheetsf,` and no mi's'talpe'can possibly be made# FurthermoreL-the sheets'are held together so that-no sheet can b e lost.
Vhen the policy isfolded-to nornial relation* as "shown iin Figa, 3 of the drawings, Vthe sheets Sand 4are bound together along their V upper edges Within the fold of the'body' of the policy, and `at the's'anietimeVthe sheets vare held attached to the back of the policy. This insures that the fornis printed upon theface of thepolicy Aandupon-'sheets and 4 will be heldin accurately registered relation.
The ends efthe yface portieril 1 ran'dsheet 3 are free so? that sheets of carbonfpaper maybef inserted between the sheets Without separating -anyof the slieet'sgalong tht perforated lines of fold, therebyfacilitating the inserting of'canbon paperV and permitting theforms Yto be filled out in.theftriplicate-atfone operation.;
E'Having thus described iny invention, what l desire tosecuie by Letnature.
y foini comprising a body portiqn l'iav-ingalii-ie oli-fold coincident ingredgeof the facejporti'on and having a perforated line of fold coinciding, with the 1,757,094 i' g Y' transverse ccnterlnepof the extension and orining a continuation of the transverse centerline of the body; and entry forms printed upon the extension upon opposite faces there- ,of having' entrylspaces disposed and des ignated "similarlyl to the entry spaces ofthe f policy face andbeing oldable to matchingl relation*toeaeho'ther/andlto the policy face `for duplicating"entries by ineans of inter- Vposedcarboii' material.
2. Anii'isui'a'nce policy form comprising a Y bodyiportion l having a line of fold coincident with yits transverse center line to orin face and vback portions-"ofthe policy and printed with suitable subject; matterfincludingf an V'eilitry vkformipr-inted upon the face. to torni entry spaces; a 'lateral extensionlforined upon one -sideoat the body and -j oined-thereto along n a?perforatedzlineolitold entending along one side of the backportienand:de nilngthe lon-r gitudinal centerline oztthe body and? exten- ','s ion`,` said extension being severed troni' the inatchingedgeof the-facelpo'rtion ValongI said 'L longitudinal centerline-andliavingla perforatedY line' ofi told vcoincidingY with the'.v transverse centerline ofthelextensrionsy and or'rni ing a continuation ofx the transverse centerline of `thefbody5` v the extension being shorter tliai-'i-fthe body and -for'niing duplicate record sheets eldable intofmatching relation between-fthe face and back loit-tl'i'e; body entry VVforms printed'uponl the record sheets in' oppositely disposed relationto/k thelperlforated Aline of ytold`V jioini'ngsaidf sheets and upon'opposite facesfof the exteiisionpsaid forms Ahav-l ing entryspaces disposed and designated sinn-V i ilarly to the entryy spaces of 'the policyrface and 'be'iiig=movedinto registering relation with ,eachother and With the policy'face when the sheets are folded into'mzptehing relation policyorlduplicating `entries inade kWithin the entry spaces of the I I K policyface-bynieansi1 of carbon vifnateri-al`v Y fbet-WeenQ 'thel face and Vl'amael;portions ofV the K i I In Witness whereof7 hereunto set inyfg'sijg-v with' its transversecenterlineto ferne face f and'back portions of the policy andzprinted l with suitable subject f matter iincluding an esay-fernrprimea upon than@ to provide 1 u on one side of the body andjoi'nedthereto i wie at perfected; linaire@'extending elongate .Sieotlie beest-@nicsci-tle'bdy, Y Y fsa-idfeXtensionlbeingseveredfroin` the match-
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US298485A US1757094A (en) | 1928-08-09 | 1928-08-09 | Insurance-policy form |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US298485A US1757094A (en) | 1928-08-09 | 1928-08-09 | Insurance-policy form |
Publications (1)
Publication Number | Publication Date |
---|---|
US1757094A true US1757094A (en) | 1930-05-06 |
Family
ID=23150727
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US298485A Expired - Lifetime US1757094A (en) | 1928-08-09 | 1928-08-09 | Insurance-policy form |
Country Status (1)
Country | Link |
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US (1) | US1757094A (en) |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2703048A (en) * | 1951-08-03 | 1955-03-01 | Tele Trip Policy Co Inc | Insurance policy vending and validating apparatus |
US4690433A (en) * | 1984-05-30 | 1987-09-01 | Glenwood Systems U.S.A., Ltd. | Stationery set |
-
1928
- 1928-08-09 US US298485A patent/US1757094A/en not_active Expired - Lifetime
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2703048A (en) * | 1951-08-03 | 1955-03-01 | Tele Trip Policy Co Inc | Insurance policy vending and validating apparatus |
US4690433A (en) * | 1984-05-30 | 1987-09-01 | Glenwood Systems U.S.A., Ltd. | Stationery set |
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