ACORD 61 PA (2003/07) – Pennsylvania Auto Supplement – Important Notice

Pennsylvania law and regulations require that every applicant forauto insurance must:

• Have “no-fault” coverages and options explained

• Be allowed to select among various coverage options shown on ACORD 61 PA

• Have driver improvement course and safety equipment creditsexplained
  

The first named insured must sign this form in several places.

Use with ACORD 90 PA and any ACORD Commercial Auto application.

IMPORTANT NOTICE:
The benefit options shown in this form are based on the coverage limits provided in the Insurance Services Office (ISO) Private Passenger Auto Exception Pages for Pennsylvania.