ACORD 138 WY (3/96) – Wyoming Garage and Dealers – Coverages/Limits Section

Use hits form to collect the coverage, limits and premium information necessary to write Garage and Dealers insurance in this state. Required disclosure and coverage acceptance or rejection information is also included.

Use this form with ACORD 128, Garage and Dealers Section.

The following are the specific differences in this state.

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

• Uninsured and Underinsured Motorists Property Damage coverage is not available.

• A statement is added to the back of the form referencing the offering of Uninsured and Underinsured Motorists coverage.

• A statement is added advising the applicant that, if a loss occurs to an insured vehicle and the insured is paid for that loss but doesn’t actually repair the vehicle, any subsequent losses will be paid with the cost of the damage associated with prior losses being deducted.