CA DS 21 Motor Carrier Declarations

An Insurance Services Office (ISO) standard form. Declarations for the motor carrier coverage form, listing the named insured, policy period, coverages, covered auto symbols, limits, deductibles and premiums, with schedules of owned autos, hired or borrowed autos and rating bases.

1. 11 20 edition

   Nov 2020, compared with 10 13Latest edition

   • The physical damage deductible entries now show a deductible for theft or mischief or vandalism losses or an all perils deductible, which may be subject to a maximum, instead of a per-auto comprehensive deductible that did not apply to fire or lightning losses.

     10 13

     “But No Deductible Applies To Loss Caused By Fire Or Lightning”

     11 20

     “Deductible For Loss Caused By Theft Or Mischief Or Vandalism (A maximum deductible may also apply.”

Filed by one company only: 12 22 (9 filings).

3 other edition dates appear in one or two filings each, often carrier-specific versions: 11 25, 04 25, 03 06.

Where filings record what this form replaced, they name earlier editions CA DS 21 AK, CA DS 21 10 13 and other forms CA DS 03. Only some filings record replacements.

• Edition in use: in the past 12 months, 14 companies filed the 11 20 edition and 6 companies filed 10 13.
• The 12 22 edition appears only in filings from one company (9 filings in 9 states since Dec 21, 2022), which suggests a carrier-specific version.
• CADS03 (Business Auto Declarations) is filed alongside it most often, in 358 of the same filings (66%).

Data from admitted P&C filings with state insurance departments, submitted Oct 2021 to Oct 2026, excluding withdrawn and rejected filings. One filing can cover several affiliated companies.

• Progressive GroupFiles its own version: PD CA 9200 Motor Carrier Declarations (18 states)
• Old Republic GroupFiles its own version: CA DECGN 0007 Motor Carrier Declarations (38 states)
• Liberty Mutual GroupFiles its own version: AC 00 20 Motor Carrier Declarations (1 state)

• CADS03Business Auto Declarations358 filings
• CADS26Auto Dealers Declarations225 filings
• CA 23 17Truckers – Uniform Intermodal Interchange Endorsement Form Uiie – 1121 filings
• CA 00 20Motor Carrier Coverage Form119 filings
• CA 20 01Lessor – Additional Insured and Loss Payee117 filings
• CA 20 54Employee Hired Autos116 filings
• CA 23 05Wrong Delivery of Liquid Products114 filings
• CA 20 48Designated Insured for Covered Autos Liability Coverage113 filings
• CA 20 71Auto Loan/Lease Gap Coverage112 filings
• CA 04 43Waiver of Transfer of Rights of Recovery Against Others to Us (Waiver of Subrogation) – Automatic When Required by Written Contract or Agreement111 filings