Auto Policy Declaration Example “Sign Down Form”

This is the Example “Sign Down Form” from our Blogpost “How To Read An Automobile Insurance Policy Declaration Sheet”

However, the term “Declaration Sheet” may differ depending on your insurance company.

*Disclaimer: The following is only applicable to PRIVATE PASSENGER MOTOR VEHICLES insured by a natural person (i.e. not a corporation) for policies issued in Pennsylvania subject to the Pennsylvania Motor Vehicle Financial Responsibility Law.*

Underinsured/Uninsured Motorist Benefits:

• Below, we have an example of the “Sign-Down” forms we referenced in a few of the previous examples. As you will recall, your Underinsured/Uninsured Motorist benefits are automatically equal to that of your liability limits. Your insurance company, however, may attempt to get you to “sign-down” those limits to lower limits (by checking the amount of limits and having the named insured sign a form similar to the above) under the guise of saving you money, leaving yourselves and your loved ones vulnerable if you are injured by an underinsured/uninsured driver. WE RECOMMEND NEVER SIGNING-DOWN YOUR UNDERINSURED/UNINSURED MOTORIST BENEFITS.

If you’d like to learn more, or you know someone who has been injured in an auto crash, please do not hesitate to contact our offices by phone, email or text messaging, and one of our experienced staff members/attorneys will be happy to help you.

Snyder Law Group 
(610)265-8050