Form- Affidavit of Inoperability
Dear Provider; Please see the attached Affidavit of Inoperability. It is to be used when a patient is treating at your office, owns a motor vehicle, and goes through another person’s PIP insurance policy. Click here to see a nice PDF form that you can download for free This form should be used to CYA in the event the insurance company claims the patient owned a motor vehicle and should have used (or had) their own PIP insurance. It should