Form preview

Get the free Uninsured/Underinsured Motorist Bodily Injury Coverage Form

Get Form
This form allows insured individuals to select their Uninsured/Underinsured Motorist Bodily Injury (UMBI) coverage options, which compensate for losses incurred due to accidents with uninsured or
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign uninsuredunderinsured motorist bodily injury

Edit
Edit your uninsuredunderinsured motorist bodily injury form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your uninsuredunderinsured motorist bodily injury form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing uninsuredunderinsured motorist bodily injury online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use our professional PDF editor, follow these steps:
1
Create an account. Begin by choosing Start Free Trial and, if you are a new user, establish a profile.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit uninsuredunderinsured motorist bodily injury. Rearrange and rotate pages, add new and changed texts, add new objects, and use other useful tools. When you're done, click Done. You can use the Documents tab to merge, split, lock, or unlock your files.
4
Save your file. Choose it from the list of records. Then, shift the pointer to the right toolbar and select one of the several exporting methods: save it in multiple formats, download it as a PDF, email it, or save it to the cloud.
With pdfFiller, it's always easy to work with documents. Try it out!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out uninsuredunderinsured motorist bodily injury

Illustration

How to fill out Uninsured/Underinsured Motorist Bodily Injury Coverage Form

01
Obtain the Uninsured/Underinsured Motorist Bodily Injury Coverage Form from your insurance provider.
02
Read the instructions carefully to understand the information required.
03
Fill in your personal information, including your name, address, and policy number.
04
Provide details about the accident, including the date, time, and location.
05
Describe the injuries sustained as a result of the accident.
06
List any medical treatment received and the associated costs.
07
Attach any relevant documents, such as medical records or police reports.
08
Review the completed form for accuracy and completeness.
09
Sign and date the form before submission.
10
Submit the form to your insurance company according to their guidelines.

Who needs Uninsured/Underinsured Motorist Bodily Injury Coverage Form?

01
Individuals who have been involved in an accident with an uninsured or underinsured driver.
02
Drivers seeking compensation for bodily injuries caused by another driver without adequate insurance.
03
Policyholders wanting to claim benefits from their own Uninsured/Underinsured Motorist coverage.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.0
Satisfied
24 Votes

People Also Ask about

California law does not require you to carry uninsured motorist (UM) or underinsured motorist (UIM) coverage—so, legally, you don't need either one. However, UM/UIM is an important and commonsense coverage to carry.
The numbers in the coverage refer to the maximum amount your insurer will pay out for each type of claim. So, in a 100/300/100 policy, you would have $100,000 coverage per person, $300,000 in bodily injury coverage per accident, and $100,000 in property damage coverage per accident.
California Law Forbids Insurers to Raise Rates That means your rates cannot legally go up when you try to get the compensation you need and deserve after an auto accident.
But, as a California personal injury attorney I can assure you that your insurance company should not raise your rates for making an Uninsured or Underinsured Motorist claim on your policy. In fact, in most cases, doing so may violate long-standing California legal statutes.
Uninsured/Underinsured Motorist Coverage is for accidents when the other driver is at fault and does not have insurance or does not have enough insurance. Bodily injury coverage pays medical expenses for you and passengers. Property damage coverage pays the cost of repairs to your car up to $3,500.
Being "underinsured" means a person has insurance coverage, but the limits may not be high enough to cover the full expenses of a claim. For example, each state requires auto liability coverage and sets minimum limits that drivers must purchase.
California law does not require you to carry uninsured motorist (UM) or underinsured motorist (UIM) coverage—so, legally, you don't need either one. However, UM/UIM is an important and commonsense coverage to carry.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The Uninsured/Underinsured Motorist Bodily Injury Coverage Form is a document used in auto insurance that provides coverage for bodily injuries sustained by the insured in an accident where the at-fault party is either uninsured or does not have sufficient insurance coverage to pay for the damages.
Typically, insurance companies require the policyholder or claimant to file the Uninsured/Underinsured Motorist Bodily Injury Coverage Form when they are seeking to claim benefits for injuries caused by an uninsured or underinsured driver.
To fill out the form, provide your personal information, including name and contact details, details of the accident, i.e., date, time, and location, as well as insurance details of both parties involved and information regarding any witnesses. Ensure to sign and date the form before submission.
The purpose of the form is to document a claim for benefits under the Uninsured/Underinsured Motorist Bodily Injury coverage, allowing the insured to receive compensation for medical expenses, lost wages, and other damages resulting from an accident with an uninsured or underinsured driver.
The form must report information such as the insured's personal and insurance policy details, accident specifics (date, time, location), details of the at-fault party's insurance (if available), nature of injuries sustained, medical treatment received, and any witnesses present at the accident scene.
Fill out your uninsuredunderinsured motorist bodily injury online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.