ACORD 69LA Instructions


ACORD 69 LA (2002/06) – Louisiana Auto Supplement – UM/UIMBodily Injury Coverage Form – UM Property Damage Coverage

Use this form to comply with Louisiana law that requires the written offer of Uninsured Motorists Bodily Injury coverage (UMBI) with limits equal to the policy’s basic liability limits, UMBI less than the policy limits, and the right to reject UMBI coverage entirely.

Choice is also provided with respect to coverage for economic losses and/or non-economic losses, as defined by law.

Also use this form to comply with requirements that Uninsured Motorists Property Damage coverage must be offered, but can be rejected in writing.

The text on the front of this form was provided by the Louisiana Department of Insurance.