Parties
Full legal names for insured and insurer, plus policy number and contact details so the election ties to the correct contract.
Electing the Tort Option affects your ability to sue for pain and suffering and can change available benefits and premium levels. A clear, signed election documents intent, reduces disputes with insurers, and preserves legal rights where state law permits litigation instead of exclusive no-fault recovery.
These forms are completed by parties who must record an election about litigation rights under their auto policy; several stakeholders also handle, review, or store the signed form.
Accurate completion matters for both consumer protection and insurer compliance; keep a dated copy and confirm the insurer's acceptance to avoid later disputes.
Full legal names for insured and insurer, plus policy number and contact details so the election ties to the correct contract.
Unambiguous wording that the signatory elects the Tort Option and understands the right to pursue or waive certain claims.
Reference to bodily injury limits and any threshold for suit so the election's legal effect is clear.
Any statutory consumer disclosures, waiver language, or references to rights under state law should appear on the form.
Date when the election takes effect and whether it applies to renewal periods or only new incidents.
A signature block plus printed name, date, and a brief consent statement acknowledging understanding of the election.
Use PDF or DOCX when submitting electronically; include the signed copy and a certificate of completion when available.
Platforms that meet ESIGN and UETA standards preserve intent and retention; when HIPAA or other regulated data is present, ensure the vendor supports required compliance workflows and any needed Business Associate Agreement.
Many elections must be made when the policy is issued or first offered.
Some insurers permit election changes only at renewal; check policy terms.
Changing election after a loss is often restricted or ineffective for that incident.
Provide a signed form promptly if the insurer asks for documentation.
Keep signed copy for the life of the policy and beyond per retention rules.
| signNow | DocuSign | Adobe Sign | PandaDoc | HelloSign | |
|---|---|---|---|---|---|
| Starting Price | $8/user/mo | $15/user/mo | $14/user/mo | $19/user/mo | $15/user/mo |
| Free Trial | 7-day trial | Varies | Varies | Varies | Varies |
| Bulk Send | Yes | Yes | Yes | Yes | No |
| Audit Trail | Yes | Yes | Yes | Yes | Yes |
| HIPAA Compliant | Yes | Yes | Yes | No | No |
| Envelope Cap | No cap | 100 envelopes/user/year | Varies | Varies | Varies |