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Get MI ACF-01 2013-2024

 M Michigan Automobile Insu ment Facility   urance Placem Reset Print          Internal Use Only            Refeerence #: ____ ____________________            Datee Received: ________________________    PO Bo ox 532318          Livonia, MI 48153‐2 2318  Phone: 734‐464‐8111    on applying fo or benefits.  Pleasse note, “you” referenced throughout this application is defined as th e injured perso   ust be co.

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