Instructions ACORD 61CA California Auto Supplement
BASIC INFORMATION
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| Instructions ACORD 61CA California Auto Supplement |
AGENCY CUSTOMER ID
As with all ACORD forms with more than one page enter your agency customer ID so this page will be able to find the rest of this application if somewhere, somehow in that thing we call the business cycle they get separated from each other.
AGENCY
Enter your agency's name here.
APPLICANT / NAMED INSURED
Enter the same as the Name on the preceding documents in this application.
POLICY NUMBER
Enter the policy number if one exists. If no policy number has been assigned yet enter TBD for to be determined. If you have a binder number enter that here.
CARRIER
The insurance company underwriting this policy. This is the company listed on the DEC page of the policy.
NAIC NUMBER
NAIC stands for the National Association of Insurance Commissioners.
Here is their website home page...
http://www.naic.org/index.htm
They assign each insurance company a five digit code. You can search for any insurance company by name on their website at this page...
https://eapps.naic.org/cis/
MANDATORY UNINSURED MOTORISTS BODILY INJURY COVERAGE OFFER
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| Instructions ACORD 61 CA |
This statement also defines Uninsured and Underinsured Motorists Coverage.
REJECTION OF UNINSURED MOTORISTS BODILY INJURY COVERAGE
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| Rejection of Uninsured Motorists Coverage |
Completely Reject Coverage, or
Reject Coverage for specially named drivers when operating a vehicle insured under this policy.
Check the line to the left of the choice that is being made.
If you are not rejecting coverage, do not check anything here.
If you are rejecting coverage for specifically named drivers, enter the names of the excluded drivers here.
LOWER LIMITS for UNINSURED MOTORISTS BODILY INJURY COVERAGE
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| Accept Lower Limits for Uninsured Motorists Bodily Injury Coverage |
The insurer and the insured may decide to accept a lower limit for Bodily Injury Uninsured Motorist.
If that is the decision, check the line to the left of the text stating that decision. Just after the dollar sign ($) enter the lower limits which have been accepted.
APPLICANT's SIGNATURE
Have your applicant sign here.
DATE
Have the applicant enter the date of the signing.
EFFECTIVE DATE
Enter the effective date of this coverage. Normally this will be the policy effective date, however, this can be done by endorsement during a policy period. In that case the effective date would be the date of the endorsement.
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