Following are the differences from ACORD 90, the generic Personal Auto Application. For instructions on completing the balance of this form, refer to ACORD 90, the generic Personal Auto Application Instructions, on this website.
- Personal Injury Protection coverages are not available; this is not a “no-fault” state.
- Uninsured and Underinsured Motorists Property Damagecoverages are not available.
- Statement added to the back of the form, referencing the offer of Uninsured and Underinsured Motorists Bodily Injury coverages up to the policy’s basic Bodily Injury Liability limits, and the applicant’s right to select other limits, or to reject coverage entirely.