Affidavit Of No Additional Insurance Form

Affidavit no other insurance 1.

Affidavit of no additional insurance form. There is no requirement for the production of this. Please take the documentation that you have received from your insurance company to an attorney to review on your behalf. It is usually a request made of you through your carrier bu the attorney for the other side who is injured and an assurance that there is not additional coverage that the injured party can go against before they settle the claim. For the purpose of this affidavit the term insurance or insurer shall include.

An affidavit of no additional insurance can also be known as an affidavit of no excess insurance. An affidavit of no insurance is a written statement made by a person verifying that he does not have liability insurance covering a claim or lawsuit filed against him for injuries or property damage. On the date the accident occurred i was not a resident of a household wherein any resident was the registered owner of a motor vehicle covered by a policy issued by an insurance company. For all of the policies of insurance i have listed above or in exhibit a i have attached a correct copy of the declaration page or pages to my affidavit.

The attached declaration page or pages form an integral part of my affidavit and i. Use additional sheet if necessary name date relationship own or lease if yes insurer policy of birth a vehicle. Often the injured person can obtain an affidavit of no insurance from the liable party and pursue other potential insurance to cover her damages. Brian french created date.

An affidavit of no other insurance is a statement from the car owner or car driver stating that he or she has no other coverage such as an umbrella policy that could be used today compensation for a given car accident. The affidavit is a legal document signed under oath or an affirmation. Microsoft word affidavit of no insurance 032008 doc author. Of this affidavit and i swear that the information contained in exhibit a is true.

Insurance agencies or brokerages 4. Underwritten title companies 9. See affidavit instructions for completing affidavit name of insurer. Attached additional sheet if necessary check all that apply below.

Fraternal benefit societies 2. However these affidavits are usually requested when the claimant s injuries are clearly worth in excess of the tortfeasors policy limits and the responsible insurance company have offered policy limits and shown proof of the declarations of insurance.