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State Farm

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TEMPORARY AUTO

IDENTIFICATION CARD
STATE FARM®
This card is invalid if the policy for which it was issued lapses or is terminated.

TEMPORARY NEW YORK INSURANCE CARD THIS CARD MUST BE CARRIED IN THE INSURED MOTOR VEHICLE
FOR PRODUCTION UPON DEMAND.
THE COVERAGE PROVIDED BY THE POLICY MEETS THE MINIMUM
State Farm Mutual Automobile Insurance Company LIABILITY LIMITS PRESCRIBED BY LAW.

POLICY NUMBER 279 0901-M04-31 IF YOU HAVE AN ACCIDENT- NOTIFY POLICE


IMMEDIATELY.
INSURED HALL, CARLES A
1. Get names, addresses, and phone numbers of persons involved and
EFFECTIVE DATE SEP-26-2024 EXPIRATION DATE MAR-25-2025 witnesses. Also get driver license numbers of persons involved and license
plate numbers/states of vehicles.
CAR-YEAR/MAKE/VEHICLE IDENTIFICATION NUMBER 2. Don't admit fault or discuss the accident with anyone but State Farm or
COVERAGES 2015 INFINITI QX6 4D police.
5N1AL0MM9FC518264 3. Promptly notify your agent, log on to statefarm.com®, or visit State Farm
A BODILY INJURY/PROPERTY
DAMAGE LIABILITY $500 Pocket Agent® to file a claim.
C MEDICAL PAYMENTS For Emergency Road Service call 1-877-627-5757
D COMPREHENSIVE $500
G COLLISION $500 HOW TO IDENTIFY YOUR COVERAGES
H, R1, U NAIC #25178
SEE POLICY FOR FULL NAME AND DEFINITION

AGENT
TEMPORARY A
C
Liability
Medical Payments
S Death, Dismemberment and
Loss of Sight
PALMER, JUDY D Comprehensive U Uninsured Motor Vehicle
420 LEXINGTON AVE #2432 G Collision U1 Uninsured Motor Vehicle
NEW YORK, NY 10170 H Emergency Road Service UNOC Use of Nonowned Cars
PHONE #1-800-440-0998 L Physical Damage W Underinsured Motor Vehicle
This ID card must be carried in the vehicle at all times. R1 Car Rental and Travel Expense Z Loss of Earnings
EXAMINE POLICY EXCLUSIONS CAREFULLY. THIS FORM DOES NOT
STATE FARM® CONSTITUTE ANY PART OF YOUR INSURANCE POLICY.

Because many states require evidence of insurance on demand, one copy of this form
should be carried in the vehicle at all times.

A toll free number is available for Emergency Road Service and is located on your
insurance card.

1002968

2024 84829 201 09-26-2024

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