PCA
State Farm ®
Providing Insurance and Financial Services
PO Box 2358
Bloomington IL 61702-2358
Attached as requested are your replacement insurance identification cards. If the attached cards are not accepted
by a law enforcement agency or your Department of Motor Vehicle office, please contact your agent to receive
additional assistance.
Thank you for choosing State Farm for your insurance needs.
IMPORTANT - IDENTIFICATION CARDS
STATE FARM
CALIFORNIA THIS CARD MUST BE KEPT IN THE INSURED MOTOR
INSURANCE CARD VEHICLE FOR PRODUCTION UPON DEMAND.
State Farm Mutual Automobile Insurance Company IF YOU HAVE AN ACCIDENT - NOTIFY THE POLICE IMMEDIATELY
PO Box 2358 Bloomington IL 61702-2358 1. Get names, addresses, and phone numbers of persons involved and witnesses.
INSURED MASON, CHRISTINE MUTL Also get driver license numbers of persons involved and license plate
VOL numbers/states of vehicles.
2. Don't admit fault or discuss the accident with anyone but State Farm or police.
3. Promptly notify your agent, log on to [Link]®, or use the State Farm mobile
app to file a claim.
For EMERGENCY ROAD SERVICE use the State Farm mobile app, log on to [Link], or call
POLICY NUMBER 515 8478-D04-05A EFFECTIVE 1-877-627-5757. EXAMINE POLICY EXCLUSIONS CAREFULLY. THIS FORM DOES
YR 2007 MAKE NISSAN MAY 19 2023 TO OCT 04 2023 NOT CONSTITUTE ANY PART OF YOUR INSURANCE POLICY.
MODEL 350Z VIN JN1BZ34E77M553319 How to identify your coverage. See policy for full name and definition
AGENT KRISTEN LAW 2861-B2B
PHONE (510)530-3200 NAIC 25178 A Liability H Emergency Road Service U Uninsured Motor Vehicle
COVERAGE PROVIDED BY THE POLICY MEETS THE MINIMUM LIABILITY LIMITS C Medical Payments L Physical Damage U1 Uninsured Motor Vehicle-PD
PRESCRIBED BY LAW. D Comprehensive R1 Car Rental and Travel Expenses Z Loss of Earnings
COVERAGES A C D250 G500 U U1 G Collision S Death, Dismemberment and
Loss of Sight
KEEP A CARD IN YOUR CAR.
THIS CARD IS INVALID IF THE POLICY FOR WHICH IT WAS ISSUED LAPSES OR IS TERMINATED.
KEEP YOUR CURRENT CARD UNTIL THE EFFECTIVE DATE OF THIS CARD.
ONE COPY OF THIS FORM SHOULD BE CARRIED IN THE VEHICLE AT ALL TIMES. THE FORM MAY BE NEEDED AS EVIDENCE OF INSURANCE IN COURT.
SUBMIT ONE CARD, OR A PHOTOCOPY OF A CARD, WITH YOUR VEHICLE REGISTRATION RENEWAL.
Emergency Road Service information is located on your insurance card.
IMPORTANT - IDENTIFICATION CARDS
STATE FARM
CALIFORNIA THIS CARD MUST BE KEPT IN THE INSURED MOTOR
INSURANCE CARD VEHICLE FOR PRODUCTION UPON DEMAND.
State Farm Mutual Automobile Insurance Company IF YOU HAVE AN ACCIDENT - NOTIFY THE POLICE IMMEDIATELY
PO Box 2358 Bloomington IL 61702-2358 1. Get names, addresses, and phone numbers of persons involved and witnesses.
INSURED MASON, CHRISTINE MUTL Also get driver license numbers of persons involved and license plate
numbers/states of vehicles.
VOL 2. Don't admit fault or discuss the accident with anyone but State Farm or police.
3. Promptly notify your agent, log on to [Link]®, or use the State Farm mobile
app to file a claim.
For EMERGENCY ROAD SERVICE use the State Farm mobile app, log on to [Link], or call
POLICY NUMBER 515 8478-D04-05A EFFECTIVE 1-877-627-5757. EXAMINE POLICY EXCLUSIONS CAREFULLY. THIS FORM DOES
YR 2007 MAKE NISSAN MAY 19 2023 TO OCT 04 2023 NOT CONSTITUTE ANY PART OF YOUR INSURANCE POLICY.
MODEL 350Z VIN JN1BZ34E77M553319 How to identify your coverage. See policy for full name and definition
AGENT KRISTEN LAW 2861-B2B
PHONE (510)530-3200 NAIC 25178 A Liability H Emergency Road Service U Uninsured Motor Vehicle
COVERAGE PROVIDED BY THE POLICY MEETS THE MINIMUM LIABILITY LIMITS C Medical Payments L Physical Damage U1 Uninsured Motor Vehicle-PD
PRESCRIBED BY LAW. D Comprehensive R1 Car Rental and Travel Expenses Z Loss of Earnings
COVERAGES A C D250 G500 U U1 G Collision S Death, Dismemberment and
Loss of Sight
KEEP A CARD IN YOUR CAR.
THIS CARD IS INVALID IF THE POLICY FOR WHICH IT WAS ISSUED LAPSES OR IS TERMINATED.
KEEP YOUR CURRENT CARD UNTIL THE EFFECTIVE DATE OF THIS CARD.
ONE COPY OF THIS FORM SHOULD BE CARRIED IN THE VEHICLE AT ALL TIMES. THE FORM MAY BE NEEDED AS EVIDENCE OF INSURANCE IN COURT.
SUBMIT ONE CARD, OR A PHOTOCOPY OF A CARD, WITH YOUR VEHICLE REGISTRATION RENEWAL.
143295.3 (o1ecca1d) 01-15-2018 Emergency Road Service information is located on your insurance card. MAY 22 2023
