Coverage Selection form - If you can see this page, check your URL ... 2026

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  1. Click 'Get Form' to open the Coverage Selection form in our editor.
  2. Begin by entering your 'Named Insured' and 'Policy Number' at the top of the form. This information is crucial for identifying your policy.
  3. In the 'Bodily Injury and Property Damage Liability' section, select your desired coverage limits by checking the appropriate box next to your choice.
  4. Proceed to the 'Lawsuit Options' section. Choose between the Limitation on Lawsuit Option or No Limitation on Lawsuit Option based on your preference.
  5. For 'Personal Injury Protection (PIP)', select either the standard limit or one of the lower limits available, ensuring you understand the implications of each choice.
  6. Continue through each section, making selections for deductibles and additional coverages as outlined in the Buyer’s Guide referenced in each part of the form.
  7. Finally, review all selections made before signing and dating at the bottom of the form to confirm your choices are accurate.

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