ACORD 66WV Instructions

ACORD 66 WV (2001/08) – West Virginia Personal and Commercial Umbrella Liability Supplement Uninsured/Underinsured Motor VehicleCoverage Offer of Split Limits Liability

Use this form, together with ACORD 65 WV (Important Notice), with all personal and commercial umbrella applications, to comply withrequirements set by the WV DOI.

This form must be used to apply for, or reject, optional excess UNinsuredand or excess UNDERinsured motor vehicle coverage with SPLIT LIMITS liability. For SINGLE LIMITS, use ACORD 68 WV.