Auto Insurance Information Center

What forms are needed in the state of Alabama?

The available forms and a brief description are listed below. You can open a .pdf version of these forms by clicking on the desired form number in the 'File Attachments' section below.

Alabama Uninsured Motorist Coverage Selection of Limits: AU AL39a 0908.pdf

If you have not previously completed and signed the selection/rejection of Uninsured Motorists Bodily Injury Coverage or if you want to make changes to your current coverage, please print and complete this form. (Alabama law requires that you purchase at least minimum Uninsured Motorist Coverage unless you reject the coverage in writing.)

Once completed, please mail or fax the form to the address or fax number listed below.

Physical Mailing and Overnight Address:

Overnight - Correspondence
21st Century Insurance
3 Beaver Valley Rd - 4th Floor
Wilmington, DE 19803
Fax Number: 1(866) 447-2611

File Attachments

AL UM Coverage Selection Form.pdf


General Information
State Forms

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