BA Forms

FORM NUMBERDESCRIPTIONEDITION DATE
 BA-9Optional Basic Economic Loss Endorsement1/02
  BA-10Additional P.I.P Endorsement1/02
  BA-11Supplementary Uninsured/Underinsured Motorist1/02
  BA-12NY Mandatory Personal Injury Protection1/02
  BA-13Uninsured Motorist Endorsement1/02
  BA-14Split Limits Option1/02
  BA-20Business Automobile Provisions1/02
  BA-22NY Cancellation Provisions1/02
  BA-23Medical Payments Coverage1/02
  BA-24Drive Other Car Endorsement1/02
  BA-25NY Business Automobile Changes1/02
  BA-26Additional Insureds – Employees1/02
  BA-27NY Rental Vehicles Coverage1/02
  BA-28Other Scheduled Automobiles1/02
  BA-29Added Rental Reimbursement1/02
  BA-30NY Suspension of Insurance1/02
  BA-31Suspension of Insurance1/02
  BA-32Reinstatement of Insurance1/02
  BA-33Discs and Tapes Coverage1/02
  BA-34Farm Tractors and Non-Farm Equipment1/02
  BA-35An Individual as the Insured1/02
  BA-36Loss Payable Endorsement1/02
  BA-37Full Glass Endorsement (NY)1/02
  BA-38Notice to Policyholders – Rental Vehicle Provisions (NY)1/02
  BA-39Employees – Insureds1/02
  BA-40Lessor – Additional Insured1/02
  BA-41Hired Autos Designated as Covered Autos You Own1/02
  BA-42Supplemental Spousal Liability1/02
  BA-43Medical Expense Exclusion1/02
  BA-45Change Endorsement1/02
  SSL-NOTICESupplemental Spousal Liability Coverage Notice4/02