ACORD 61AZ Instructions

ACORD 61 AZ (2001/02) – Arizona Auto Supplement
Uninsured and Underinsured Motorists Coverage Selection Form

This form complies with Arizona law, which requires that consumer information about Uninsured and Underinsured Motorists coverage must be provided every applicant for auto insurance coverage.

The text of ACORD 61 AZ was developed by the Arizona DOI. Thespanish version of this supplement is ACORD 62 AZ.

Use this form with ACORD 90 AZ, Arizona Personal Auto Application.