POLICY![]()
Massachusetts Automobile Insurance Policy( 2008 ed)
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Updated 11/13/07
FORMS![]()
Application for Massachusetts Motor Vehicle Insurance (2008 ed.)
Coverage Selections Page (2008 ed.)
Massachusetts Renewal Form (2008 ed.)
Forms available at this time in PDF
format only
Annual Mileage Discount Form (2008 ed.)
Application for Benefits – Personal Injury Protection
Massachusetts Motor Vehicle Liability Bond
Statutory Notice of Cancellation of the Massachusetts Motor
Vehicle Liability Policy (2008 ed.)
Legal Notice of Non-Renewal of Your Massachusetts Automobile
Insurance Policy
Notice of Transfer of Insurer
ENDORSEMENTS ![]()
Agreed Amount Coverage-Comprehensive - MPY-0034-S (2008 ed.)
Antique Auto – M-0047-S (2008 ed.)
Coverage for Anyone Renting an Auto to You – M-0070-S (2008 ed.)
Coverage for Customized Vans and Pickups – MPY-0037-S (2008 ed.)
Excess Electronic Equipment Coverage – MPY-0041-S (2008 ed.)
$100 Glass Deductible-Comprehensive – MPY-0039-S (2008 ed.)
Guest Occupants Exclusion-Motorcycles – M-0002-S (2008 ed.)
Non-Renewal of Policy-Motorcycles, Recreational Vehicles and
Trailers – M-0103-S (2008 ed.)
Operator Exclusion Form – M-0106-S (2008 ed.)
Other Optional Insurance - Combined Additional Coverage
- MPY-0031-S (2008 ed.)
Other Optional Insurance - Fire, Lightning and Transportation - MPY-0028-S
(2008 ed.)
Other Optional Insurance Theft
- MPY-0029-S - (2008 ed.)
Original Equipment Manufacturer Parts Coverage – MPY-0040-S
(2008 ed.)
Stated Amount Coverage – MPY-0027-S (2008 ed.)
Suspension of Coverage and Reduction of Limits – MPY-0032-S
(2008 ed.)
Transportation of Fellow Employees, Students or Others –
M-0004-S (2008 ed.)
Use of Other Autos-Vehicles Furnished or Available for Regular
Use – M-0051-S (2008 ed.)
Use of Other Autos-Vehicles Furnished or Available for Use on
Public or Livery Conveyance – M-0052-S (2008 ed.)
Waiver of Deductible – MPY-0016-S (2008 ed.)
RULES![]()
Massachusetts Private Passenger Automobile Insurance Manual –
(2008 ed.) (Rules Section only)