ACORD 137 DC (2000/09) – District of Columbia 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. Required disclosure and coverage acceptance or rejection information is also included.
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 coverages reflect District of Columbia’s unique coverages and options. Refer to your state manual.
- Statement added referencing the offer of Uninsured and Underinsured
Motorists coverages, and the applicant‘s right to select coverage limits, and reject Underinsured Motorists coverage.
- Statement added allowing the applicant to rejectPersonal Injury Protection coverages. Applicant must signify rejection by initialing the form.
- Fraud warning is specific to DC.
For further instructions refer to the generic ACORD 137 Instruction here.