RESOURCES

Personal Injury Protection and Medical Payments Coverage

To ensure the best experience possible, please download printable PDFs on a desktop or tablet device. The following forms and links will help you better understand the process for your Personal Injury Protection (PIP) and Medical Payments Coverage (MPC) claim.

These forms are not eligible to be used by residents of the province of New Brunswick, Canada.

New Jersey Personal Injury Protection (PIP)

This contains explanations, forms and links that will help you better understand the process of your New Jersey Personal Injury Protection (PIP) claim.

Forms to be Completed, Printed, Signed and Returned by the Injured Party

Policyholders, Injured Parties and Medical Providers

Claims with Date of Loss Prior to 11/1/2011

Claims with Date of Loss On and After 11/1/2011

Claims with Date of Loss On and After 12/15/2013

PIP Vendor

Connecticut/Maine/New Hampshire/Rhode Island/Vermont Medical Payments Coverage (MPC)

Policyholders and Injured Parties

Pennsylvania Medical Payments Coverage (MPC)

Policyholders and Injured Parties

New York Personal Injury Protection (PIP)

Policyholders and Injured Parties

Adobe Acrobat Reader is required to view several links listed throughout this site. To download your free copy, click on the Get Adobe Acrobat Reader above.

Find an Agent

Get a Quote

Continue a saved quote

File a Claim

Please select a claim type

Check the status of a claim

Go to the Claims Center

Disclaimer

Please remember that the following descriptions contain only a general description of available coverages and are not a statement of contract. All coverages are subject to all policy provisions and applicable endorsements. To learn more about auto insurance coverage in your state, find a State Farm agent.