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This version of the form is not currently in use and is provided for reference only. Download this version of
Form PC-10.4
for the current year.
Form PC-10.4 Supplemental Inventory - Rhode Island
What Is Form PC-10.4?
This is a legal form that was released by the Rhode Island Probate Court - a government authority operating within Rhode Island. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the PC-10.4 Supplemental Inventory form?
A: The PC-10.4 Supplemental Inventory form is a document used in Rhode Island to supplement the Personal Injury Protection (PIP) coverage on an automobile insurance policy.
Q: What is the purpose of the PC-10.4 Supplemental Inventory form?
A: The purpose of the PC-10.4 Supplemental Inventory form is to provide additional coverage for medical expenses and lost wages resulting from an automobile accident.
Q: Who needs to complete the PC-10.4 Supplemental Inventory form?
A: Any Rhode Island resident with an automobile insurance policy that includes PIP coverage may need to complete the PC-10.4 Supplemental Inventory form.
Q: Is there a fee to submit the PC-10.4 Supplemental Inventory form?
A: There is no fee to submit the PC-10.4 Supplemental Inventory form.
Q: When should I submit the PC-10.4 Supplemental Inventory form?
A: You should submit the PC-10.4 Supplemental Inventory form as soon as possible after being injured in an automobile accident.
Form Details:
- Released on July 1, 2017;
- The latest edition provided by the Rhode Island Probate Court;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form PC-10.4 by clicking the link below or browse more documents and templates provided by the Rhode Island Probate Court.
