Coverage (9 forms)

Form Code Title Latest Edition States
N/A All States
CA 00 01Business Auto Coverage Form 03 10 All States
CA 00 05Garage Coverage Form 10 13 All States
CA 00 10Motor Carrier Coverage Form 10 13 All States
CA 00 12Truckers Coverage Form 06 99 All States
CA 00 20Truckers Coverage Form 10 13 All States
CA 00 25Auto Dealers Coverage Form 10 13 All States
CA 26 01Single Interest Automobile Physical Damage Insurance Policy (Individual Policy Form) 03 06 AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, GU, IA, ID, IL, IN, KS, KY, LA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, PR, RI, SC, SD, TN, UT, VT, WA, WI, WV, WY
CA 26 02Single Interest Automobile Physical Damage Insurance Policy (Finance Master Policy Form) 03 06 AK, AL, AR, AZ, CA, CO, CT, DE, FL, GA, GU, IA, ID, IL, IN, KS, KY, LA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, PR, RI, SC, SD, TN, UT

Declaration (6 forms)

Form Code Title Latest Edition States
CA DS 01Commercial Auto Declarations Schedule (or similar, title varies) 07 97 All States
CA DS 03Business Auto Declarations 07 97 All States
CA DS 09Garage Declarations 03 06 CA, NC
CA DS 14Truckers Declarations 03 06 CA, MA, VA
CA DS 15Business Auto Physical Damage Declarations 03 10 All States
CA DS 21Motor Carrier Declarations 03 06 AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, GU, IA, ID, IL, IN, KS, KY, LA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT

Endorsement (59 forms)

Form Code Title Latest Edition States
CA 01 21Uninsured Motorists Coverage - (State) 10 13 STATE_SPECIFIC_VARIES
CA 01 28Florida Uninsured Motorists Coverage - Non-Stacked 07 09 FL
CA 01 96Texas Changes 03 06 TX
CA 02 18Audio, Visual And Data Electronic Equipment Coverage Added Limits 10 13 All States
CA 02 67Florida Changes - Personal Injury Protection 10 07 FL
CA 04 39Volunteer Hired Autos 11 20 All States
CA 04 43WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) – AUTOMATIC WHEN REQUIRED BY WRITTEN CONTRACT OR AGREEMENT 11 20 AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, GU, IA, ID, IL, IN, KS, KY, LA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, PR, RI, SC, SD, TN
CA 04 44Waiver Of Transfer Of Rights Of Recovery Against Others To Us (Waiver of Subrogation) 10 13 All States
CA 04 49Primary And Noncontributory - Other Insurance Condition 11 16 All States
CA 05 24NON-OWNERSHIP LIABILITY COVERAGE FOR VOLUNTEERS 11 20 AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, GU, IA, ID, IL, IN, KS, KY, LA, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT
CA 05 25Partners Or Members As Insureds 11 20 AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, GU, IA, ID, IL, IN, KS, KY, LA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX
CA 20 01Lessor - Additional Insured And Loss Payee 10 13 All States
CA 20 02Audio, Visual And Data Electronic Equipment Coverage - Fire, Police And Emergency Vehicles N/A All States
CA 20 09Leasing or Rental Concerns–Contingent Coverage (or similar, title varies) 03 97 All States
CA 20 10Leasing or Rental Concerns – Conversion, Embezzlement Or Secretion Coverage 10 13 All States
CA 20 11LEASING OR RENTAL CONCERNS – EXCLUSION OF CERTAIN LEASED AUTOS 03 06 AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, GU, IA, ID, IL, IN, KS, KY, LA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NM, NV, NY, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX
CA 20 12LEASING OR RENTAL CONCERNS – RENT-IT-THERE/LEAVE-IT-HERE AUTOS 10 01 AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, GU, HI, IA, ID, IL, IN, KS, KY, LA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VA, VT, WA, WI, WV, WY
CA 20 13Leasing Or Rental Concerns – Schedule Of Limits For Owned Autos 10 01 All States
CA 20 14Leasing Or Rental Concerns – Second Level Coverage 07 97 AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, GU, IA, ID, IL, IN, KS, KY, LA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NJ, NM, NV, NY, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX
CA 20 15Employees As Insureds 10 13 All States
CA 20 33Autos Leased, Hired, Rented Or Borrowed With Drivers – Physical Damage Coverage 10 13 AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, GU, IA, ID, IL, IN, KS, KY, LA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NJ, NM, NV, NY, OH, OK, OR, PA, PR, RI, SC, SD, TN
CA 20 48Designated Insured For Covered Autos Liability Coverage 10 13 All States
CA 20 54Employee Hired Autos Endorsement N/A All States
CA 20 55Fellow Employee Coverage N/A All States
CA 20 56Fellow Employee Coverage for Designated Employees/Positions 10 13 All States
CA 20 98Employee Hired Autos 02 04 LA
CA 21 09Texas Uninsured/Underinsured Motorists Coverage 06 04 TX
CA 22 64TEXAS PERSONAL INJURY PROTECTION ENDORSEMENT 03 06 TX
CA 23 05Mobile Equipment Subject To Compulsory Or Financial Responsibility Or Other Motor Vehicle Insurance Law 10 13 All States
CA 23 08Motor Carriers – Excess Coverage for the Named Insured and Named Lessors for Leased Autos 12 93 AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, GU, HI, IA, ID, IL, IN, KS, KY, LA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VA, VI, VT, WA, WI, WV, WY
CA 23 09Motor Carriers – Insurance for Non-Trucking Use 02 99 AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, GU, IA, ID, IL, IN, KS, KY, LA, MD, ME, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT
CA 23 12Motor Carriers – Named Lessee as Insured 10 13 AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, GU, HI, IA, ID, IL, IN, KS, KY, LA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, PR, RI, SC, SD
CA 23 30Motor Carrier Endorsement 12 93 AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, GU, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, WI
CA 23 84Exclusion of Terrorism 01 06 PR, NC, CA, SD, NE
CA 23 85Exclusion of Terrorism Involving Nuclear, Biological or Chemical Terrorism 01 06 AL, AR, AZ, CA, CO, DC, DE, GU, IA, ID, IL, IN, LA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, PA, PR, RI, SC, SD, TN, TX, UT, VI, VT, WI, WV, WY
CA 23 86Exclusion of Terrorism Above Minimum Statutory Limits 01 06 CT, HI, KS, KY, MA, NJ, OK, OR
CA 23 87Exclusion Of Terrorism Involving Nuclear, Biological Or Chemical Terrorism Above Minimum Statutory Limits 01 06 CT, HI, KS, KY, MA, NJ, OK, OR
CA 24 02Public Transportation Autos 10 13 AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, GU, HI, IA, ID, IL, IN, KS, KY, LA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX
CA 25 01Uninsured Motorists Coverage 10 13 All States
CA 25 03False Pretense Coverage 03 06 AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, GU, HI, IA, ID, IL, IN, KS, KY, LA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VA, VI, VT, WA, WI, WV, WY
CA 25 10Damage To Rented Premises Liability Coverage – Garages (previously Fire Legal Liability Coverage – Garages) 12 93 All States
CA 25 14Broadened Coverage - Garages N/A All States
CA 26 03Auto Medical Payments Coverage 10 13 All States
CA 26 04AMENDMENT OF SINGLE INTEREST POLICY PROVISIONS – PUBLIC OR LIVERY PASSENGER CONVEYANCE AND ON-DEMAND DELIVERY SERVICES EXCLUSION 11 20 AK, AL, AR, AZ, CA, CO, CT, DC, DE, GA, GU, IA, ID, IL, IN, KY, LA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, RI, SC
CA 26 05Single Interest Deductibles 04 80 AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, GU, HI, IA, ID, IL, IN, KS, KY, LA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, PR, RI, SC, SD, TN, UT
CA 31 10Pollution Liability - Broadened Coverage For Covered Autos (Business Auto and Motor Carrier Coverage Forms) 10 13 All States
CA 99 03Auto Medical Payments Coverage 03 06 All States
CA 99 10Drive Other Car Coverage - Broadened Coverage For Named Individuals 10 13 All States
CA 99 16Hired Autos Specified As Covered Autos You Own 10 01 All States
CA 99 17Individual Named Insured 10 22 All States
CA 99 27SPLIT LIABILITY LIMITS 01 87 AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, IA, IL, IN, KS, KY, LA, ME, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, PR, RI, SD, TN, UT, VT, WA, WV, VA
CA 99 33Employees as Insureds N/A All States
CA 99 34Social Service Agencies–Volunteers as Insureds N/A All States
CA 99 38Split Liability Limits - Garages 01 87 AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, IA, IL, IN, KS, KY, LA, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, UT, VT, WA, WI, WV
CA 99 47Employee Hired Autos 10 13 All States
CA 99 48Pollution Liability – Broadened Coverage for Covered Autos – Business Auto and Motor Carrier Coverage Forms 03 06 AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, GU, HI, IA, ID, IL, IN, KS, KY, LA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, PR
CA 99 54Covered Auto Designation Symbol N/A All States
CA 99 60Audio, Visual And Data Electronic Equipment Coverage Added Limits 03 06 AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, GU, HI, IA, ID, IL, IN, KS, KY, LA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, PR, RI, SC, SD, TN
CA 99 61Loss Payable Clause – Audio, Visual And Data Electronic Equipment Coverage Added Limits 12 93 AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, GU, HI, IA, ID, IL, IN, KS, KY, LA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, PR

Exclusion (1 forms)

Form Code Title Latest Edition States
CA 03 01Exclusion Of Federal Employees Using Autos In Government Business 10 13 All States

Other (1 forms)

Form Code Title Latest Edition States
CA APPLCommercial Auto Application 01 16 All States