This article contains a table of the EZLynx Mapping Fields used when creating custom Agency Form Templates. To learn how to make custom agency form templates for your agency, check out Documents - Agency Form Templates.


Primary ContactSecondary ContactAccount InformationPolicyAuto(Personal)HomeownersAssigned AgentAgency Information
First Name
First Name
Account NamePolicy NumberBI Each AccidentDwelling (Coverage A)Full NameAgency Name
Last NameLast Name
Business EmailInsurer Full NameBI Each PersonLocation #1 - AddressEmail AddressMailing Address Line 1
Full NameFull Name
Business Phone
Line of BusinessDriver #1 - Date of BirthLocation #1 - Address 2Phone #Mailing Address Line 2
Maiden NameMaiden Name
Business FaxEffective DateDriver #1 - First NameLocation #1 - CityProducer Fax #Mailing Address City
PrefixPrefix
Website URLExpiration DateDriver #1 - Last NameLocation #1 - CountyAuthorized Representative Signature 1 Mailing Address State
SuffixSuffix
Mailing Address Line 1Written PremiumDriver #2 - Date of Birth
Location #1 - StateAuthorized Representative Signature 12
Mailing Address Zip
NicknameNickname
Mailing Address Line 2Annual PremiumDriver #2 - First Name
Location #1 - ZipAuthorized Representative Signature 1Cancellation

Middle InitialMiddle Initial
Mailing Address City
Billing TypeDriver #2 - Last Name
Loss of Use (Coverage D)


Primary Email AddressPrimary Email Address
Mailing Address StateEstimated FeesDriver #3 - Date of Birth
Medical Payments

Alternate Email AddressAlternate Email Address
Mailing Address ZipEstimated TaxesDriver #3 - First Name
Other Structures (Coverage B)

Primary Phone #
Primary Phone #
Mailing Address CountyFull Term PremiumDriver #3 - Last Name
Personal Liability (Coverage E)

Secondary Phone #Secondary Phone #
Previous Address Line 1Insurer NAIC CodeDriver #4 - Date of Birth
Personal Property

Work Phone #Work Phone #
Previous Address Line 2Line of Business Origination DateDriver #4 - First Name



Fax #Fax #
Customer Since DatePolicy DescriptionDriver #4 - Last Name



Date of BirthDate of Birth
Form Completion DateProducer CodeDriver #5 - Date of Birth




DL #DL #
Legal Entity DateProducer Code Override
Driver #5 - First Name




DL StateDL State
NAICS/SIC CodeRating StateDriver #5 - Last Name




DL StatusDL Status
Applicant Tax IDTotal Commission %Medical Payments


EducationEducation
Time @ Current AddressTotal Commission AmountPD Each Accident


GenderGender
Time @ Previous AddressUnderwriter Full NameSingle Limit Liability Each Accident


IndustryIndustry


Vehicle #1 - Body Style


Marital StatusMarital Status


Vehicle #1 - Make


OccupationOccupation

Vehicle #1 - Model


SSNSSN


Vehicle #1 - VIN


# of Years in Occupation# of Years in Occupation


Vehicle #1 - Year


# of Years w/ Prior Employer# of Years w/ Prior Employer


Vehicle #2 - Body Style







Vehicle #2 - Make







Vehicle #2 - Model







Vehicle #2 - VIN







Vehicle #2 - Year







Vehicle #3 - Body Style







Vehicle #3 - Make







Vehicle #3 - Model







Vehicle #3 - VIN







Vehicle #3 - Year







Vehicle #4 - Body Style







Vehicle #4 - Make







Vehicle #4 - Model







Vehicle #4 - VIN







Vehicle #4 - Year