Auto Insurance Forms

U-45 Designated Person(s) Coverage Exclusion (MIC)
U-45 Exclusion form for Mercury Insurance
Thu, 14 Aug, 2014 at 3:17 PM
U-200 Community Service Statement (CAIC)
U-200 Community Service for Cal-Auto
Thu, 23 Jan, 2014 at 4:04 PM
U-200 Community Service Statement (MIC)
U-200 Community Service Statement for Mercury
Thu, 23 Jan, 2014 at 4:04 PM
U-234 Provisional Instructional Permit Driver (CAIC)
U-234 Permit Driver for Cal-Auto
Thu, 23 Jan, 2014 at 4:04 PM
U-234 Provisional Instructional Permit Driver (MIC)
U-234 Permit Driver Form for Mercury
Thu, 7 Aug, 2014 at 10:43 PM
U-240 EFT Authorization Form
U-240 EFT Authorization Form for Mercury/CAIC
Thu, 14 Aug, 2014 at 3:17 PM
U-245 Auto Body Consumer Bill of Rights (CAIC)
U-245 Auto Body Consumer Bill of Rights for Cal-Auto
Fri, 17 Jan, 2014 at 4:43 PM
Policy Change
Policy change requiring a signature.
Thu, 14 Aug, 2014 at 3:18 PM
Good Student Discount
Click to be taken to our online Good Student Discount page
Thu, 14 Aug, 2014 at 3:21 PM
Del Smith Insurance Permitted Driver
Permitted driver warning document. Please sign for a permitted driver. DSIPD Form
Tue, 12 Aug, 2014 at 2:51 PM