Get A050 04 07 Um-uim-pip Selection Form - Michigan.doc. Ver. 1.0 - Ccdc 21 - 2001

Filling out the A050 04 07 UM-UIM-PIP Selection Form accurately is essential to ensure you receive the appropriate coverage under Michigan law. This guide provides clear, step-by-step instructions to assist you in completing the form online.

Follow the steps to successfully complete your coverage selection.

1. Click the ‘Get Form’ button to obtain the form and open it in the online editor.
2. Begin by entering your name in the designated field to clearly identify your application.
3. In the address section, fill out your complete address to ensure all correspondence is sent to the correct location.
4. Read through the descriptions provided regarding protection against uninsured and underinsured motorists. This information is crucial as it outlines your options.
5. Indicate your selection for Uninsured Motorists coverage by marking the appropriate box. You can choose to reject coverage, select coverage equal to your policy’s liability limit, or select a lower limit.
6. For Personal Injury Protection coordination of benefits, select the corresponding option based on your current insurance situation. This ensures proper rating of your automobile policy.
7. When addressing No-Fault Property Damage Liability Coverage Buyback, choose whether to reject this coverage or to purchase it along with an understanding of the implication for your premiums.
8. Select your preferred Collision Coverage option, choosing between Regular, Limited, or Broad Form collision coverage based on your needs.
9. Once all fields are filled, review your selections for accuracy to ensure your choices are reflected appropriately.
10. Finally, sign and date the form to authenticate your selections, then save any changes you have made. You can now download, print, or share the completed form as needed.

Complete your document online today to ensure you receive the best protection and benefits available.