Form Number |
State |
Name/Description |
62 |
WA |
Washington Auto Supplement Mandatory
Offer of PIP Coverage |
137 |
WA |
Washington Commercial Auto |
138 |
WA |
Washington Garage and Dealers |
90 |
WA |
Washington Personal Auto Application |
82 |
|
Watercraft Application |
60 |
WV |
West Virginia Auto Supplement UM/UIM
Vehicle Coverages |
50 |
WV |
West Virginia Certificate of Insurance |
137 |
WV |
West Virginia Commercial Auto |
138 |
WV |
West Virginia Garage and Dealers |
90 |
WV |
West Virginia Personal Auto Application |
62 |
WV |
West Virginia Uninsured/Underinsured
Motorist Coverage Offer of Single Limit Liability |
61 |
WV |
West Virginia/Underinsured Motorist
Coverage - Offer of Split Limits Liability |
64 |
WV |
West Virginia Essential Property Insurance
Association - Basic Property Insurance Application |
61 |
WI |
Wisconsin Auto Supplement Underinsured
Motorists Coverage Selection Form |
178 |
WI |
Wisconsin Automobile Insurance Plan |
177 |
WI |
Wisconsin Automobile Insurance Plan |
97 |
WI |
Wisconsin Automobile Plan |
137 |
WI |
Wisconsin Commercial Auto |
138 |
WI |
Wisconsin Garage and Dealers |
90 |
WI |
Wisconsin Personal Auto Application |
135 |
WI |
Wisconsin Supplementary Election of
Coverage Form |
136 |
WI |
Wisconsin Supplementary Limited Other
States Coverage Request |
134 |
WI |
Wisconsin Supplementary Non-Election
Form |
133 |
WI |
Wisconsin Workers Compensation Insurance
Pool |
13 |
|
Witness Card |
4 |
|
Workers Comp First Report of Injury
or Illness |
130 |
|
Workers Compensation Application |
133 |
|
Workers Compensation Insurance Plan
Assigned Risk Section |
171 |
CT |
Workers' Compensation Commission of
Connecticut |
172 |
CT |
Workers' Compensation Commission of
Connecticut |
173 |
CT |
Workers' Compensation Commission of
Connecticut |
137 |
WY |
Wyoming Commercial Auto |
138 |
WY |
Wyoming Garage and Dealers |
90 |
WY |
Wyoming Personal Auto Application |