- Insurance Information
- Maine State Forms
What forms are needed in the state of Maine?
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.
Maine law requires that Uninsured Motorists Coverage be offered at limits that are equal to the limits of Bodily Injury Liability Coverage that are in your policy. Under the law you also have the right to select limits for this coverage that are lower than the limits for Bodily Injury Liability Coverage that are in your policy. However, the limits for this coverage may not be less than the minimum limits for bodily injury liability insurance as prescribed by law. Those limits are $50,000 per person/$100,000 per accident. If you have not previously completed and signed the Maine Uninsured Motorists Coverage Selection of Limits or if you want to make changes to your current coverage, please print and complete this form.
ME Uninsured Motorist Coverage Selection Form: AU ME39 1106
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