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PAL

State Farm ®
Providing Insurance and Financial Services
PO Box 2358
Bloomington IL 61702-2358

Attached as requested are your replacement insurance identification cards. If the attached cards are not accepted
by a law enforcement agency or your Department of Motor Vehicle office, please contact your agent to receive
additional assistance.
Thank you for choosing State Farm for your insurance needs.

IMPORTANT - IDENTIFICATION CARDS


STATE FARM

ALABAMA THIS CARD MUST BE KEPT IN THE INSURED MOTOR


INSURANCE CARD VEHICLE FOR PRODUCTION UPON DEMAND

IF YOU HAVE AN ACCIDENT - NOTIFY THE POLICE IMMEDIATELY


INSURED BLUM, DENNIS MUTL 1. Get names, addresses, and phone numbers of persons involved and witnesses.
VOL Also get driver license numbers of persons involved and license plate
POLICY NUMBER 360 8127-C12-01A EFFECTIVE numbers/states of vehicles.
2. Don't admit fault or discuss the accident with anyone but State Farm or police.
YR 2004 MAKE DODGE MAR 12 2022 TO SEP 12 2022 3. Promptly notify your agent, log on to statefarm.com®, or use the State Farm mobile
MODEL DURANGO VIN 1D4HD48T44F114957 app to file a claim.
AGENT KIM LEE-HAMMETT For EMERGENCY ROAD SERVICE use the State Farm mobile app, log on to statefarm.com, or call
PHONE (205)625-4141 NAIC 25178 1-877-627-5757. EXAMINE POLICY EXCLUSIONS CAREFULLY. THIS FORM DOES
THE COVERAGE PROVIDED BY THE POLICY MEETS THE NOT CONSTITUTE ANY PART OF YOUR INSURANCE POLICY.
MINIMUM LIABILITY LIMITS PRESCRIBED BY LAW. How to identify your coverage. See policy for full name and definition
A BODILY INJURY/PROPERTY DAMAGE LIABILITY
C MEDICAL PAYMENTS A Liability H Emergency Road Service U Uninsured Motor Vehicle
D COMPREHENSIVE C Medical Payments L Physical Damage UNOC Use of Nonowned Cars
G 500 DEDUCT COLLISION D Comprehensive R1 Car Rental and Travel Expenses Z Loss of Earnings
H, U G Collision S Death, Dismemberment and
SEE REVERSE SIDE FOR ADDITIONAL COVERAGE INFORMATION Loss of Sight

KEEP A CARD IN YOUR CAR.


THIS CARD IS INVALID IF THE POLICY FOR WHICH IT WAS ISSUED LAPSES OR IS TERMINATED.
KEEP YOUR CURRENT CARD UNTIL THE EFFECTIVE DATE OF THIS CARD.
MANY STATES REQUIRE EVIDENCE OF INSURANCE ON DEMAND. ONE OF THESE CARDS SHOULD BE CARRIED IN THE VEHICLE AT ALL TIMES.
Emergency Road Service information is located on your insurance card.

IMPORTANT - IDENTIFICATION CARDS


STATE FARM

ALABAMA THIS CARD MUST BE KEPT IN THE INSURED MOTOR


INSURANCE CARD VEHICLE FOR PRODUCTION UPON DEMAND

IF YOU HAVE AN ACCIDENT - NOTIFY THE POLICE IMMEDIATELY


INSURED BLUM, DENNIS MUTL 1. Get names, addresses, and phone numbers of persons involved and witnesses.
VOL Also get driver license numbers of persons involved and license plate
POLICY NUMBER 360 8127-C12-01A EFFECTIVE numbers/states of vehicles.
2. Don't admit fault or discuss the accident with anyone but State Farm or police.
YR 2004 MAKE DODGE MAR 12 2022 TO SEP 12 2022 3. Promptly notify your agent, log on to statefarm.com®, or use the State Farm mobile
MODEL DURANGO VIN 1D4HD48T44F114957 app to file a claim.
AGENT KIM LEE-HAMMETT For EMERGENCY ROAD SERVICE use the State Farm mobile app, log on to statefarm.com, or call
PHONE (205)625-4141 NAIC 25178 1-877-627-5757. EXAMINE POLICY EXCLUSIONS CAREFULLY. THIS FORM DOES
THE COVERAGE PROVIDED BY THE POLICY MEETS THE NOT CONSTITUTE ANY PART OF YOUR INSURANCE POLICY.
MINIMUM LIABILITY LIMITS PRESCRIBED BY LAW. How to identify your coverage. See policy for full name and definition
A BODILY INJURY/PROPERTY DAMAGE LIABILITY
C MEDICAL PAYMENTS A Liability H Emergency Road Service U Uninsured Motor Vehicle
D COMPREHENSIVE C Medical Payments L Physical Damage UNOC Use of Nonowned Cars
G 500 DEDUCT COLLISION D Comprehensive R1 Car Rental and Travel Expenses Z Loss of Earnings
H, U G Collision S Death, Dismemberment and
SEE REVERSE SIDE FOR ADDITIONAL COVERAGE INFORMATION Loss of Sight
KEEP A CARD IN YOUR CAR.
THIS CARD IS INVALID IF THE POLICY FOR WHICH IT WAS ISSUED LAPSES OR IS TERMINATED.
KEEP YOUR CURRENT CARD UNTIL THE EFFECTIVE DATE OF THIS CARD.
MANY STATES REQUIRE EVIDENCE OF INSURANCE ON DEMAND. ONE OF THESE CARDS SHOULD BE CARRIED IN THE VEHICLE AT ALL TIMES.
Emergency Road Service information is located on your insurance card.
143054.3 (o1ecal1d) 12-20-2017 JAN 18 2022

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