ACORD 61 MS (2013/07)

Section Name
Field Name
Field and/or Section Description
ACORD 61 MS (2013/07)
Mississippi Auto Supplement,
Mississippi Non-Stacking
Uninsured Motorist Insurance
ACORD 61 MS, Mississippi Auto Supplement, Mississippi Non-
Stacking Uninsured Motorist Insurance, complies with Mississippi law (House Bill 545,
2013, Miss. Code 83-11-102) that requires a separate form offering to insureds and
applicants with four (4) or more covered motor vehicles the option of selecting single limit,
non-stacking Uninsured Motorists insurance coverage. Use this form when applying for
auto insurance.
The applicant's signature is required on the form.
ACORD 61 MS (2013/07) rev. 05-31-2013
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