Agency Software: State Specific Forms

W A R N I N G

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Updated 2/1/2007 10:32:17 AM PST
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State Specific Forms

AL	AK	AR	AZ	CA	CO	CT	DE	FL	GA
HI	IA	ID	IL	IN	KS	KY	LA	MA	MD
ME	MI	MN	MO	MS	MT	NC	ND	NE	NH
NJ	NM	NV	NY	OH	OK	OR	PA	RI	SC
SD	TN	TX	UT	VA	VT	WA	WV	WI	WY
District of Columbia
Puerto Rico
US Virgin Islands

State	Form Name	Form Number	Revision Date
Alaska
Alabama
Arkansas
Arizona
California	California Auto Supplement, Mandatory Uninsured Motorists Bodily Injury/Property Damage Coverage Offer	61 CA	2007/01
	California Personal Auto Application	90 CA	2007/01
	California Commercial Auto, Coverages/Limits Section	137 CA	2007/01
	California Garage and Dealers, Coverages/Limits Section	138 CA	2007/01
Colorado	Colorado Personal Auto Application	61 CO	2007/01
Connecticut
Delaware
Florida	Florida Commercial Auto	137 FL	2007/11
	Florida Workers Compensation Instr. for Completing 130 FL & 133 FL	134 FL	2007/01
	Florida Auto Supplement	61 FL	2008/03
Georgia
Hawaii
Iowa	Iowa Commercial Auto, Coverages/Limits Section	137 IA	2007/01
Iowa	Iowa Garage and Dealers, Coverages/Limits Section	138 IA	2007/01
Idaho
Illinois
Indiana
Kansas	Kansas Personal Auto Application	90 KS	2007/01
	Kansas Commercial Auto, Coverages/Limits Section	137 KS	2007/01
	Kansas Garage and Dealers, Coverages/Limits Section	138 KS	2007/01
Kentucky
Louisiana	Louisiana Auto Supplement - Uninsured/Underinsured Motorist Bodily Injury Coverage form	69 LA	2007/02
Maine
Maryland	Maryland Property Insurance Availability Program, Essential Property Insurance Inspection and Placement	64 MD	2007/01
	Maryland Personal Property Supplement - Statement Regarding Flood Insurance	68 MD	2007/01
	Maryland Insurance Supplement - Notice of Underwriting Period	69 MD	2007/01
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska	Nebraska Auto Liability Insurance Identification Card	50 NE	2007/01
Nevada
New Hampshire
New Jersey	Designation of an Insurance Company	133 NJ	2008/01
New Jersey	New Jersey Workers Comp. Insurance Plan Notice of Election - Proprietors and Partners	134 NJ	2007/01
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina	South Carolina Insurance Identification Card	50 SC	2007/01
	South Carolina Auto Supplement	61 SC	2007/01
	Associated Auto Insurers Plan of South Carolina - Private Passenger Application	97 SC	2007/01
	Associated Auto Insurers Plan of South Carolina - Supplemental Vehicle Schedule	129 SC	2007/01
	Associated Auto Insurers Plan of South Carolina - Commercial Application	177 SC	2007/01
	Associated Auto Insurers Plan of South Carolina - Uninsured & Underinsured Auto Insurance Coverages Form for Private Passenger Risks	185 SC	2007/01
	Associated Auto Insurers Plan of South Carolina - Uninsured & Underinsured Auto Insurance Coverages Form for Commercial Risks	186 SC	2007/01
South Dakota
Tennessee
Texas	Texas Commercial Auto Coverages/Limits Section	137 TX	2007/08
Utah
US Virgin Islands
Vermont
Virgina
Washington
Washington DC	Application to District of Columbia Property Insurance Facility for Basic Property Inspection and Insurance Program	64 DC	2007/01
West Virgina
Wisconsin
Wyoming

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