Get the free uninsured motorist statement form

Uninsured Motorist Coverage and Property Damage Selection Oregon This statement acknowledges that you have been offered the opportunity to purchase Uninsured Motorist Property Damage Coverage. Bodily Injury Liability. A number of options are available to you regarding Uninsured Motorist Bodily Injury UMBI under uninsured motorist coverage protection for bodily injury or death resulting from an accident caused by a driver who is legally liable for the injuries but who has no liability...

How to fill out uninsured motorist statement form

How to fill out uninsured motorist statement form:

1. Gather all necessary information: You will need to provide your personal information, such as your name, address, and contact details. You should also have your insurance policy number and the date of the accident ready.
2. Describe the accident: Provide a detailed description of the accident, including the date, time, and location. Explain how the accident occurred and any factors that may have contributed to it.
3. State the details of the uninsured motorist: If the other driver involved in the accident does not have insurance, provide their personal information such as their name, address, and contact details. Include any information you were able to gather about their vehicle, such as the make, model, and license plate number.
4. Explain your injuries and damages: Describe any injuries you sustained as a result of the accident, as well as any damage to your vehicle or property. Include medical reports, repair estimates, or any other supporting documentation.
5. Provide witness statements: If there were any witnesses to the accident, include their statements. Make sure to include their contact information in case additional information is required.
6. Sign and date the form: Once you have completed all the necessary sections, sign and date the uninsured motorist statement form.

Who needs uninsured motorist statement form:

1. Anyone involved in a car accident with an uninsured motorist may need to fill out an uninsured motorist statement form.
2. This form is specifically required for individuals who have insurance coverage for uninsured motorist incidents.
3. It is essential to accurately complete this form in order to file a claim with your insurance company and potentially receive compensation for your injuries and damages.

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What is uninsured motorist statement form?

The uninsured motorist statement form is a document that is used to report a motor vehicle accident involving an uninsured driver to the insurance company.

Who is required to file uninsured motorist statement form?

Any party involved in a motor vehicle accident with an uninsured driver is required to file the uninsured motorist statement form with their insurance company.

How to fill out uninsured motorist statement form?

To fill out the uninsured motorist statement form, you need to provide details of the accident such as the date, time, location, and a description of the incident. You will also need to provide information about the uninsured driver involved.

What is the purpose of uninsured motorist statement form?

The purpose of the uninsured motorist statement form is to notify the insurance company of an accident involving an uninsured driver and to initiate the claims process for uninsured motorist coverage.

What information must be reported on uninsured motorist statement form?

The uninsured motorist statement form typically requires information such as the names and contact information of the parties involved in the accident, details of the accident, any injuries sustained, and any witnesses or police reports related to the accident.