ACORD 61 NV (2002/12) – Nevada Auto Supplement, Mandatory Offer of Medical Payments Coverage and Uninsured Motorists Coverage
This form is required by law, and must be given to every applicant for auto insurance, or umbrella insurance that provides auto insurancecoverage. It explains the options available, and allows the applicant to accept/reject Medical Payments (auto insurance only) and/or Uninsured Motorists coverage’s. The applicant must sign the form.
Use with ACORD 90 NV, all commercial auto applications, and allumbrella applications.