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Facility Supplies
We supply the following forms to licensed
producers via UPS. However,
log in now to download
applications. Better yet, use EARS or CARS, our online rating
applications.
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MAIPF-01 - Temporary Certificate of No-Fault Insurance (available
only in paper)
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MAIPF-03 - PPNF Application & Instructions for Completion
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MAIPF-04 - Com'l Application & Instructions for Completion
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ACORD 139MI - ACORD Supplement to the MAIPF-04
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MAIPF-05 - Vehicle Inspection Form for Taxicabs
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MAIPF-36 - Policy Change Request Form & Instructions for
Completion
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MAIPF-40 - Vehicle Inspection Form for PP
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MAIPF-60 - Declaration of Intention to Reside
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MAIPF-124 - HEAT Brochure
If applications are mailed, we base the number of forms that we send
on the number of applications the producer submitted since the preceding order.
If you have not submitted any applications since the preceding order, no forms
will be sent. If you have any questions please
e-mail us or call our office.
Order Facility forms and supplies online or by
telephone, mail, or email:
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Use the link above to log in place your order;
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Call the Facility office at 734.464.1100, press 0 to speak with an operator;
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Write to us at MAIPF, PO Box 33617, Detroit, MI 48232-5617;
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E-mail us -- be sure to
include your name or agency name AND your Producer System ID.
If you don't receive your supply order within seven business days, please
contact our Mail Department at extension 228. If you are not receiving adequate
amounts, please contact us at 734.464.1100 or by e-mail (use link
above). |
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