This version of the form is not currently in use and is provided for reference only. Download this version of
Form FIS2362
for the current year.
Form FIS2362 Application for Unconditional Certification of Auto Insurance Utilization Review Program (Initial, Renewal, or Reinstatement) - Michigan
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Download Form FIS2362 Application for Unconditional Certification of Auto Insurance Utilization Review Program (Initial, Renewal, or Reinstatement) - Michigan