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APPLICATION FOR REGISTRATION TO ACCESS THE ELECTRONIC APPLICATION SUBMISSION INTERFACE EASi ILLINOIS AUTOMOBILE INSURANCE PLAN PRINT IN INK OR TYPE APPLICATION MAIL APPLICATION AND COPY OF LICENSE TO FOR PLAN USE P. O. BOX 6530 PROVIDENCE RI 02940-6530 RECEIVED PROCESSED BY AND DATE REGISTRATION ID CODE FOR FASTER SERVICE THIS FORM AND A COPY OF LICENSE MAY BE FAXED TO 800-827-6260 OR EMAILED TO CentralRegion aipso.

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What is easi aipso form?

Easi AIPSO form refers to the Electronic Accident Surcharge Instant Reporting. It is a form used by insurance companies to report accidents and surchargeable incidents to the Automobile Insurance Plans Service Office (AIPSO).

Who is required to file easi aipso form?

Insurance companies are required to file the Easi AIPSO form for reporting accidents and surchargeable incidents to the AIPSO.

How to fill out easi aipso form?

To fill out the Easi AIPSO form, insurance companies need to provide details such as policy information, accident details, driver information, and other relevant information as requested on the form. The form can be filled out electronically and submitted online.

What is the purpose of easi aipso form?

The purpose of the Easi AIPSO form is to provide a standardized process for insurance companies to report accidents and surchargeable incidents to the AIPSO. This helps in monitoring and maintaining accurate records of accidents and incidents for insurance rating purposes.

What information must be reported on easi aipso form?

The Easi AIPSO form requires insurance companies to report information such as policy details, accident date and time, accident location, description of the accident, driver details, vehicle details, and any other relevant information as requested on the form.