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UIIA Insurance Forms

Below is a list of the most frequently requested forms by insurance agents:

  1. Full Insurance Packet
  2. ACORD 22 Certificate of Insurance
  3. EP Checklist Form 5C
  4. UIIE-1 Truckers Intermodal Interchange Endorsement
  5. CA-2317 - Truckers Endorsement
  6. TE23-17 - Truckers Endorsement
  7. UIIA EP Insurance Policy Limit Requirements

Please note that IANA will no longer accept mailed copies of insurance documentation effective October 5, 2020. Insurance agents must submit all insurance online to the UIIA office.

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