Affidavit Of No Other Insurance Form

Insurance agencies or brokerages 4.

Affidavit of no other insurance form. An affidavit of no additional insurance can also be known as an affidavit of no excess insurance. Please take the documentation that you have received from your insurance company to an attorney to review on your behalf. Microsoft word affidavit of no insurance 032008 doc author. See affidavit instructions for completing affidavit name of insurer.

Fraternal benefit societies 2. I certify that the foregoing statements made by me are true. Insurance carrier for coverage of medical services. 3 26 2008 2 25 30 am.

Florida insurance affidavit under penalty of perjury i certify that i have name of insured personal injury protection property damage liability and when required bodily injury liability insurance currently in effect with under. I do hereby testify under the penalties of perjury that the information contained within this affidavit is true and correct to the best of my knowledge and belief. On the date the accident occurred i personally did not own an automobile with liability insurance coverage that would afford me personal injury protection no fault benefits. For the purpose of this affidavit the term insurance or insurer shall include.

It includes his full legal name his date of birth his age even his social security number in some cases. Back to misc sample lawyer forms sample forms and documents for maryland lawyers. Often the injured person can obtain an affidavit of no insurance from the liable party and pursue other potential insurance to cover her damages. The affidavit is a legal document signed under oath or an affirmation.

The vehicle i was driving was not covered by any policy of insurance. Affidavit no other insurance. Affidavit of now comes xxxxxxxxxxxxxx affiant herein who after being duly sworn before the undersigned officer who is duly authorized by law to administer oaths gives this affidavit based on his personal knowledge that the following information set forth herein is true and correct. An affidavit is considered a legal statement.

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. Brian french created date. 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. Underwritten title companies 9.