ACORD 61 NM (2005/04) – New Mexico Auto Supplement
This form complies with New Mexico law, and must be used with applications for auto insurance under the following circumstances:
UM Coverage Selection
1. When an applicant for either personal or commercial auto insurance:
– Selects Uninsured Motorists (UM) coverage less than the liability limits of the policy, or
– Rejects Uninsured Motorists (UM) coverage entirely
Rejection of Stacked UM Coverage 2.
When an applicant for a multi-vehicle personal auto policy, or a multi-vehicle commercial auto policy if the applicant is an individual, decides to reject intra-policy Stacked Uninsured Motorists (UM) coverage.
Signature / Date
Applicant must sign and date the application