ACORD 62AZ Instructions


ACORD 62 AZ (2003/05) – Arizona Auto Supplement (Spanish Version)
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 spanish text of ACORD 62 AZ was developed by the Arizona DOI. The English version of this supplement is ACORD 61 AZ.

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