ACORD 137 LA (2001/10) – Louisiana 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 inthis 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 are not available; this is not a “no-fault” state.
- Underinsured Motorists coverage is included in Uninsured Motoristcoverage.
- Statement added to the back of the form, referencing the offer of Uninsured Motorists coverages up to the policy’s basic Liability limits, and the applicant‘s right to select lower limits, or to reject coverage entirely. The applicant must also sign the Louisiana auto supplement, ACORD 69 LA.
For further instructions refer to the generic ACORD 137 Instruction here.