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STATE OF LOUISIANA This form may not be altered or modified. UNINSURED/UNINSURED MOTORIST BODILY INJURY COVERAGE FORM Uninsured/Under insured Motorists Bodily Injury Coverage, referred to as.

UNINSURED. This insurance policy is provided to you by, for. Your protection, the Louisiana Department of Insurance. THE BENEFIT OF THIS PLAN IS THAT IF YOU FAIL TO SHOW UP TO ATTEND YOUR LICENSE TEST, WE WILL PROVIDE YOU WITH THE APPROPRIATE EQUIPMENT THAT IS REQUIRED TO ATTEND THAT LICENSE TEST. THIS INCLUDES A VALID ID THAT CAN BE OBTAINED FROM YOUR LOCAL POLICE DEPARTMENT TO ENFORCE THIS COVERAGE. UNINSURED/UNINSURED MOTORIST MUST COMPLETE THE POST-EXAMINATION EXAMINATION ON THURSDAY, SEPTEMBER 8, 2007. THIS REQUIREMENT IS A STATE REQUIREMENT. NO TEST CERTIFICATION WILL BE REQUIRED. TEST CERTIFICATION REQUIRED FOR UNINSURED MOTORISTS UNDER THE AGE OF 20 YEARS. REQUIREMENT FOR A VALID ID. YOU ARE ENTITLED TO: (I) A VALID ID THAT CAN BE OBTAINED FROM YOUR LOCAL POLICE DEPARTMENT TO ENFORCE THIS PLAN. (II) BOTH A VALID AND VALID PHOTO ID WITH NAME, DATE, STATE OR MUNICIPALITY, AND IF AN OUTSIDE EMPLOYMENT, YOUR LAST NAME AND WORK STATE. OTHER QUESTIONS TO THE POLICE DEPARTMENT CAN BE PUSHED TO BOTH YOURSELF AND YOUR ELDERS IF YOU CAN FIND THEM. If you do not answer all the questions or if you have not done enough research to understand or identify all the law, then it is your responsibility to pay for all the testing. The police officer who is administering the test may ask you a question. If the question is on the DMV test format, it may be repeated and answered again. The test is not the same for everyone, even if the person taking the test is the same gender. You may be required to take the test again if your information changed or if you fail to answer all the questions. This plan is intended for drivers who do not have insurance or who have been unable to obtain insurance in the past. This plan does not cover accidents, damage or injuries arising from criminal activity, such as, assault, battery or robbery. This plan does not cover the costs of accidents, including medical payments, vehicle repairs, or vehicle replacement.

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