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IDENTIFICATION CARD
STATE FARM®
This card is invalid if the policy for which it was issued lapses or is terminated.
TEMPORARY
2FTDF0861VCA03742
SEE POLICY FOR FULL NAME AND DEFINITION
(All coverages not available in all states.)
COVERAGES
A or AB Liability (Bodily Injury/Property U Uninsured Motor Vehicle
A BODILY INJURY/PROPERTY
Damage) U Underinsured Motor Vehicle
DAMAGE LIABILITY C, M Medical Payments in Washington
C MEDICAL PAYMENTS D Comprehensive or Other Than U Uninsured and Underinsured Motor
H, U, U1 Collision (OTC) Vehicle-BI/PD in Alaska
DWG Comprehensive with Full Glass U1 Uninsured Motor Vehicle-PD
E Fire, Theft, Other Specified U1 Uninsured and Underinsured Motor
NAIC # 25178 Perils Vehicle-in Alaska
F,G,or J Collision U1 Uninsured Motor Vehicle-BI/PD
H Emergency Road Service in Indiana
AGENT Maier, Shane L Physical Damage U1 Underinsured Motor Vehicle-PD
133 Star Dr N Property Protection in Washington
Chillicothe, OH 45601-9584 U2 Uninsured and Underinsured
(Name varies by state)
P, Q Personal Injury/No Fault Motor Vehicle-PD
(Name varies by state) UNOC Use of Nonowned Cars
PHONE# 740-702-5909 R Car Rental W Underinsured Motorist
R1, R2 Car Rental and Travel Expense Y Limited Property Damage
S Death, Dismemberment Liability (Michigan)
STATE FARM® T Disability Z Loss of Earnings
Because many states require evidence of insurance on demand, one copy of this form
should be carried in the vehicle at all times.