| Form Number |
State |
Name/Description |
| 35 |
|
Cancellation Request/Policy Release |
| 36 |
|
Agent/Broker of Record Change |
| 37 |
|
Statement of No Loss |
| 38AZ |
AZ |
Notice of Information Practices (Privacy) |
| 38CA |
CA |
Notice of Information Practices (Privacy) |
| 38CO |
CO |
Notice of Information Practices (Privacy) |
| 38CT |
CT |
Notice of Information Practices (Privacy) |
| 38GA |
GA |
Notice of Information Practices (Privacy) |
| 38IL |
IL |
Notice of Information Practices (Privacy) |
| 38KS |
KS |
Notice of Information Practices (Privacy) |
| 38MN |
MN |
Notice of Information Practices (Privacy) |
| 38NJ |
NJ |
Notice of Information Practices (Privacy) |
| 38NV |
NV |
Notice of Information Practices (Privacy) |
| 38OR |
OR |
Notice of Information Practices (Privacy) |
| 38VA |
VA |
Notice of Information Practices (Privacy) |
| 38WA |
WA |
Notice of Information Practices (Privacy) |
| 40 |
|
Residential Property Valuation Survey |
| 41 |
|
Residential Property Replacement Cost
Worksheet |
| 42 |
|
Residential Property Replacement Cost
Information Supplement |
| 45 |
|
Additional Interest |
| 50 |
|
Insurance Identification Card |
| 50-WM |
|
Insurance Identification Card (With
Watermark) |
| 50 |
FL |
Florida Auto Insurance ID Card |
| 50 |
HI |
Hawaii No Fault Insurance ID Card |
| 50 |
KY |
Commonwealth of Kentucky Proof of Insurance |
| 50 |
LA |
Louisiana Auto Insurance ID Card |
| 50 |
MI |
Michigan Certificate of No-Fault Insurance |
| 50 |
MO |
Missouri Auto Insurance Identification
Card |
| 50 |
NY |
New York State Insurance Identification
Card |
| 50 |
OK |
Oklahoma Security Verification Form |
| 50 |
TX |
Texas Liability Insurance Card |
| 50 |
MS |
Mississippi Insurance Identification
Card |
| 50 |
WV |
West Virginia Certificate of Insurance |
| 54 |
|
Financial Responsibility Form |
| 57 |
|
Financial Responsibility Form (Notice
of Cancellation or Termination) |
| 60 |
|
Flood Insurance Notice/Rejection |
| 60 |
HI |
Hawaii Auto Supplement Uninsured/Underinsured
Motorists Coverage Selection Stacked or Non- Stacked UM and UIM
Coverage |
| 60 |
LA |
Louisiana Dwelling Supplement - Loss
Settlement |
| 60 |
NY |
New York Homeowners Supplement |
| 60 |
OK |
Oklahoma Auto Supplement Oklahoma Uninsured
Motorists Coverage Law |
| 60 |
PA |
Pennsylvania Auto Supplement UM Coverage
Selection/Rejection |
| 60 |
TX |
Texas Auto Supplement Consumer Bill
of Rights for Personal Automobile Insurance |
| 60 |
VA |
Virginia Auto Supplement Rental Reimbursement
Coverage |
| 60 |
WV |
West Virginia Auto Supplement UM/UIM
Vehicle Coverages |
