• About Us
  • Contact Us
Auto Insurance Information Center

What forms are needed in the state of Iowa?

The available forms 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.

Iowa law requires you to purchase Uninsured and Underinsured Motorists Coverages, unless you tell us, in writing, that you want to reject either one or both of these coverages. If you have not previously completed and signed the Iowa Uninsured and Underinsured Motorists (Non-Stacked) Rejection of Coverage or if you want to make changes to your current coverage, please print and complete this form.

Iowa Uninsured and Underinsured Motorists Coverage (Non-Stacked) Rejection of Coverage: AU IA39 1005

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

IA UM/UIM Rejection of Coverage.pdf

Topics

General Information
Coverage
State Forms

^ Back to Top

Get a Free Auto Insurance Quote:

You're just a click away from seeing how 21st Century can save you money on your auto insurance.

Insurance underwritten by affiliated and non-affiliated companies of 21st Century Insurance, Wilmington, DE. Copyright © 2012 Farmers Insurance.