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OKLAHOMA AUTO SUPPLEMENT (Standard Lines Services)

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OKLAHOMA AUTO SUPPLEMENT
$
I want the same amount of Uninsured Motorist coverage as my bodily injury liability coverage.1.
You may make one of four choices about Uninsured Motorist Coverage by indicating below what Uninsured
Motorist coverage you want:
OKLAHOMA UNINSURED MOTORIST COVERAGE LAW
(Proposed Insured) (Proposed Insured) (Date)
THIS FORM IS NOT A PART OF YOUR POLICY AND DOES NOT PROVIDE COVERAGE.
Oklahoma law gives you the right to buy Uninsured Motorist coverage in the same amount as your bodily
injury liability coverage. THE LAW REQUIRES US TO ADVISE YOU OF THIS VALUABLE RIGHT FOR
THE PROTECTION OF YOU, MEMBERS OF YOUR FAMILY, AND OTHER PEOPLE WHO MAY BE
HURT WHILE RIDING IN YOUR INSURED VEHICLE. YOU SHOULD SERIOUSLY CONSIDER BUYING
THIS COVERAGE IN THE SAME AMOUNT AS YOUR LIABILITY INSURANCE COVERAGE LIMIT.
Uninsured Motorist coverage, unless otherwise provided in your policy, pays for bodily injury damages to
you, members of your family who live with you, and other people riding in your car who are injured by: (1) an
uninsured motorist, (2) a hit-and-run motorist, or (3) an insured motorist who does not have enough liability
insurance to pay for bodily injury damages to any insured person. Uninsured Motorist coverage, unless
otherwise provided in your policy, protects you and family members who live with you while riding in any
vehicle or while a pedestrian. THE COST OF THIS COVERAGE IS SMALL COMPARED WITH THE
BENEFITS!
Coverage is generally described here. Only your policy provides you with a complete description of the
coverages and their limitations.
I understand these coverage selections/rejections will apply to all future renewals, continuations and
changes in my policy, unless I notify you otherwise in writing.
I want minimum Uninsured Motorist coverage ($25,000 per person / $50,000 per occurrence).2.
I want Uninsured Motorist coverage in the following amount:3.
per person / $
per occurrence.
I want to reject Uninsured Motorist coverage.4.
ACORD 60 OK-1 (2009/11) © 1994-2009 ACORD CORPORATION. All rights reserved.
AGENCY
CARRIER NAIC CODEPOLICY NUMBER
NAMED INSURED(S)
EFFECTIVE DATE
AGENCY CUSTOMER ID:
The ACORD name and logo are registered marks of ACORD
Clear All
SINGLE LIMIT LIABILITY
OKLAHOMA UNINSURED MOTORIST COVERAGE LAW
I want the same amount of Uninsured Motorist coverage as my bodily injury liability coverage.1.
You may make one of four choices about Uninsured Motorist Coverage by indicating below what Uninsured
Motorist coverage you want:
(Proposed Insured) (Proposed Insured) (Date)
THIS FORM IS NOT A PART OF YOUR POLICY AND DOES NOT PROVIDE COVERAGE.
Oklahoma law gives you the right to buy Uninsured Motorist coverage in the same amount as your bodily
injury liability coverage. THE LAW REQUIRES US TO ADVISE YOU OF THIS VALUABLE RIGHT FOR
THE PROTECTION OF YOU, MEMBERS OF YOUR FAMILY, AND OTHER PEOPLE WHO MAY BE
HURT WHILE RIDING IN YOUR INSURED VEHICLE. YOU SHOULD SERIOUSLY CONSIDER BUYING
THIS COVERAGE IN THE SAME AMOUNT AS YOUR LIABILITY INSURANCE COVERAGE LIMIT.
Uninsured Motorist coverage, unless otherwise provided in your policy, pays for bodily injury damages to
you, members of your family who live with you, and other people riding in your car who are injured by: (1) an
uninsured motorist, (2) a hit-and-run motorist, or (3) an insured motorist who does not have enough liability
insurance to pay for bodily injury damages to any insured person. Uninsured Motorist coverage, unless
otherwise provided in your policy, protects you and family members who live with you while riding in any
vehicle or while a pedestrian. THE COST OF THIS COVERAGE IS SMALL COMPARED WITH THE
BENEFITS!
Coverage is generally described here. Only your policy provides you with a complete description of the
coverages and their limitations.
I understand these coverage selections/rejections will apply to all future renewals, continuations and
changes in my policy, unless I notify you otherwise in writing.
I want minimum Uninsured Motorist coverage ($50,000 per occurrence single limit).2.
I want Uninsured Motorist coverage in the following amount:3.
$
per occurrence on a single limit basis.
I want to reject Uninsured Motorist coverage.4.
AGENCY
CARRIER NAIC CODEPOLICY NUMBER
NAMED INSURED(S)
EFFECTIVE DATE
AGENCY CUSTOMER ID:
ACORD 60 OK-2 (2009/11) © 1994-2009 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
OKLAHOMA AUTO SUPPLEMENT
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OKLAHOMA AUTO SUPPLEMENT (Standard Lines Services)

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Completed 7 February 2021

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