ACORD 64 NJ (2004/01) – New Jersey Auto Supplement, Standard Coverage Selection Form
New Jersey laws and regulations require that every applicant forauto insurance be given a copy of this supplement, which explains various coverage choices available under the “Standard” insurance policy. Specific premium and rate information, as well as differences in premium between various coverage’s, must be filled in and provided to the applicant. The applicant must make coverage choices on this form, and must sign it. This form also refers to ACORD 61NJ, the Auto Insurance Buyers Guide, prescribed by the New Jersey Insurance Division.