ACORD 61 DE (3/97)a – Delaware Auto Supplement

Delaware Motorist’s Protection Act

Required Statement to Policyholders

This form complies with Delaware Regulation 9. The selection of limits or rejection of coverage is valid for all insureds under the policy.

Use this form with ACORD 90 DE, and any commercial auto applications, whenever the applicant selects Uninsured Motorists Bodily Injury Limits lower than the policy’s Bodily Injury Liability limits, or rejects Uninsured Motorists coverage entirely. The applicant must sign the form.