ACORD 68WV Instructions

ACORD 68 WV (2001/08)West Virginia Personal and Commercial Umbrella Liability Supplement Uninsured/Underinsured Motor VehicleCoverage Offer of Single Limit Liability

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

This form is used to apply for, or reject, optional excess UNinsuredand/or optional excess UNDERinsured motor vehicle coverage with SINGLE LIMIT liability. For SPLIT LIMITS, use ACORD 66 WV