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Get the free UNDERINSURED AND PERSONAL INJURY PROTECTION COVERAGE SELECTION FORM - WASHINGTON

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This document outlines the options for Underinsured Motorists Coverage and Personal Injury Protection available under Washington law, allowing individuals to choose their coverage limits.
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How to fill out UNDERINSURED AND PERSONAL INJURY PROTECTION COVERAGE SELECTION FORM - WASHINGTON

01
Begin by obtaining the Underinsured and Personal Injury Protection Coverage Selection Form from your insurance provider or their website.
02
Read the instructions carefully to understand your coverage options.
03
Fill in your personal information, including your name, address, and policy number at the top of the form.
04
Review the Underinsured Motorist (UIM) coverage options and check the box next to your selected coverage limit.
05
If you choose to reject UIM coverage, sign and date the designated area to confirm your choice.
06
Move on to the Personal Injury Protection (PIP) coverage section, and check the box for the amount of coverage you desire.
07
If choosing to reject PIP coverage, sign and date in the corresponding area.
08
Carefully review all filled-out sections for accuracy.
09
Sign and date the bottom of the form before submitting it to your insurance company.
10
Keep a copy of the completed form for your records.

Who needs UNDERINSURED AND PERSONAL INJURY PROTECTION COVERAGE SELECTION FORM - WASHINGTON?

01
Drivers in Washington State who want to enhance their auto insurance coverage
02
Individuals who want protection in case they are involved in an accident with an underinsured driver
03
Those seeking medical coverage for injuries resulting from an auto accident regardless of fault
04
People who want to ensure that they receive adequate compensation for medical bills, lost wages, and other related expenses.
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People Also Ask about

What If You Don't Have PIP? Once it's confirmed that you don't have PIP, your health insurance will need to cover accident-related treatment. Be aware, though, that you may be responsible for deductibles, co-pays, and pre-authorization requirements, depending on your policy.
Uninsured Motorist Coverage in Washington Uninsured motorist bodily injury: Pays for your medical expenses, lost wages, pain and suffering, and sometimes funeral costs. Uninsured motorist property damage: Covers the property damage to your vehicle if the other driver has no insurance and can't pay for repairs.
The insurance policy must have limits of at least: $25,000 of bodily injury or death of 1 person in any 1 accident. $50,000 of bodily injury or death of any 2 people in any 1 accident. $10,000 of injury to or destruction of property of others in any 1 accident.
Comprehensive and collision coverage will pay for damages to your vehicle in an accident, whether or not you were at fault. If you have comprehensive and collision you may not need UM/UIM property damage coverage, but neither comprehensive or collision insurance will cover bodily injury.
If you are injured in a car accident with an uninsured driver, your UIM coverage will pay you the same damages that the other driver would legally be required to pay you. This includes money damages for medical expenses, wage loss, pain and suffering, disability, scarring, and loss of ability to enjoy life.
Fiften states require drivers to have personal injury protection, but Washington does not. PIP is optional in Washington State. Most states that require PIP are “no-fault” states, which means you cannot usually sue the other driver even if they are at fault.

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The Underinsured and Personal Injury Protection Coverage Selection Form in Washington is a document that allows individuals to either select or reject underinsured motorist (UIM) and personal injury protection (PIP) coverage as part of their auto insurance policy.
All drivers in Washington are required to file the Underinsured and Personal Injury Protection Coverage Selection Form when purchasing or renewing an auto insurance policy, as it informs the insurance provider of their choice regarding UIM and PIP coverage.
To fill out the form, policyholders should read the instructions carefully, indicate their choice for UIM and PIP coverage by marking the appropriate boxes, provide necessary personal information such as name and address, and finally sign and date the form.
The purpose of the form is to ensure that drivers understand their coverage options for underinsured motorist and personal injury protection, enabling them to make informed choices regarding their auto insurance policy.
The form requires the policyholder's name, address, the selection of UIM and PIP coverage, any applicable signatures, and the date of the selection.
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