NOTICE OF INSURANCE COVERAGE
As a renter of aircraft, you are hereby notified that:
_________________________________________ | |||||
(Signature of Person or Officer of | |||||
Company Renting Aircraft) | |||||
Dated _________________________, 20_________ | |||||
(Month) | (Day) | (Year) | |||
I acknowledge receipt of this notice of insurance coverage. | |||||
Dated _________________________, 20_________ | |||||
(Month) | (Day) | (Year) |
IC 8-21-3-19.5