Rhode Island Service Center logo
302 Central Avenue
Johnston, RI 02919-4995
Phone: 401-946-2600 Fax: 401-566-0268
Email: riaip@aipso.com
Web: www.aipso.com/Plan-Sites/Rhode-Island

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The Credit Card Authorization Form is required when the applicant is paying the premium deposit on a new business quote by credit card. If the applicant is requesting to reject Uninsured Motorist Bodily Injury (UMBI) coverage, the UMBI Rejection Notice must be signed by the applicant and co-applicant. The UMBI rejection on the signature sheet is for the applicant to select lower limits of UMBI coverage and not to reject the coverage.
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