Form details
| Form number: | 1222 |
|---|---|
| Form title: | Settlement Disclosure Notice |
| Sector: | Auto Insurance |
| Category: |
SABs claims
|
| Instructions on how to use the form: | Use 1222E for policies that were effective before July 1, 2026. Use AF-165E (2026) for policies effective on or after July 1, 2026. |
| Last update: | 2016-04-01 |