ACORD 178WI Instructions

Section Name Field Name Field and/or Section Description
Title of the form. ACORD 178 WI, WisconsinAutomobile Insurance Plan, Truckers
Application, is used to apply for Truckers insurance through the Wisconsin Automobile
Insurance Plan.
TITLE WisconsinAutomobile Insurance
ACORD 178 WI (2009/11) Plan, TruckersApplication Contact the Plan for instructions on thecompletion of this form.