ACORD 137 AZ (2003/10) – Arizona Commercial Auto, Coverages/Limits Section

Use this form to collect the coverage, limits and premium information necessary to write
Business Auto, Truckers or Motor Carrier insurance in this state.

Use this form with ACORD 127, Business Auto Section or ACORD 132, Truckers /Motor
Carrier Section.

The following are the specific differences in this state:

• Personal Injury Protection coverage is not available; this is not a “no-fault”
  state.

• Uninsured and Underinsured Motorists Property Damage coverages are not
  available.
• The fraud warning text is specific to this state.

For further instructions refer to the generic ACORD 137 Instruction here.