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ACORD 61 OR (2004/10)
Oregon Auto Supplement,
Uninsured Motorists Coverage
Selection Form
ACORD 61 OR, Oregon Auto Supplement, Uninsured Motorists
Coverage Selection Form, complies with Oregon law, which requires that every applicant
for auto liability insurance must be offered:
* UM coverage at limits equal to the policy's BI limits
* An explanation of UM coverage
* The right to select lower UM limits, but not lower than the minimum required by law
* Information about the cost of UM coverage at the policy BI limits, and the cost at the
selected limits, if different
The law also requires that the insured must sign the form.
Although this form has been filed and approved by the Oregon Insurance Division, the
Division requires that insurers using this form must notify the Division that they are doing
so.
Use ACORD 61 OR with ACORD 90 OR and all commercial auto applications.
ACORD 61 OR (2004/10) rev. 09-18-2009
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