AUTO INSURANCE CUSTOMER SERVICE & TOOLS

Driver #2 Information

---

Driver #3 Information

---

Driver #4 Information

---

 Primary Automobile Information

License Plate #   or

Vin #   or

Year   Make   Model

Is This Vehicle Used For Business Or Personal Use   Personal Use Only Business Vehicle

 Automobile #2 Information

License Plate #   or

Vin #   or

Year   Make   Model

Is This Vehicle Used For Business Or Personal Use   Personal Use Only Business Vehicle

 Automobile #3 Information

License Plate #   or

Vin #   or

Year   Make   Model

Is This Vehicle Used For Business Or Personal Use   Personal Use Only Business Vehicle

 Automobile #4 Information

License Plate #   or

Vin #   or

Year   Make   Model

Is This Vehicle Used For Business Or Personal Use   Personal Use Only Business Vehicle

 Motorcycle Information

License Plate #   or

Vin #   or

Year   Make   Model

 Recreational Vechicle Information

License Plate #   or

Vin #   or

Year   Make   Model

 

---

   What Best Describes Driver #1's Living Situation   Own a Home Own a Condo Rent Live at Home Away at School None of Above

   How Many Years Has This Driver Been Licensed

   Has This Individual Passed A Certified Drivers Education Course       Yes No

   Does This Individual Qualify For The Public Transit Discount       Yes No must have 11 monthly passes

   If Student, Does Individual Qualify For The Good Student Discount       Yes No maintain a B+ average

   Has This Driver Completed the InControl Advanced Driver Training Course       Yes No

 

---

   What Best Describes Driver #2's Living Situation   Own a Home Own a Condo Rent Live at Home Away at School None of Above

   How Many Years Has This Driver Been Licensed

   Has This Individual Passed A Certified Drivers Education Course       Yes No

   Does This Individual Qualify For The Public Transit Discount       Yes No must have 11 monthly passes

   If Student, Does Individual Qualify For The Good Student Discount       Yes No maintain a B+ average

   Has This Driver Completed the InControl Advanced Driver Training Course       Yes No

 

---

   What Best Describes Driver #3's Living Situation   Own a Home Own a Condo Rent Live at Home Away at School None of Above

   How Many Years Has This Driver Been Licensed

   Has This Individual Passed A Certified Drivers Education Course       Yes No

   Does This Individual Qualify For The Public Transit Discount       Yes No must have 11 monthly passes

   If Student, Does Individual Qualify For The Good Student Discount       Yes No maintain a B+ average

   Has This Driver Completed the InControl Advanced Driver Training Course       Yes No

 

---

   What Best Describes Driver #4's Living Situation   Own a Home Own a Condo Rent Live at Home Away at School None of Above

   How Many Years Has This Driver Been Licensed

   Has This Individual Passed A Certified Drivers Education Course       Yes No

   Does This Individual Qualify For The Public Transit Discount       Yes No must have 11 monthly passes

   If Student, Does Individual Qualify For The Good Student Discount       Yes No maintain a B+ average

   Has This Driver Completed the InControl Advanced Driver Training Course       Yes No

  Automobile #1 Discounts -

---

   How Many Miles A Year Do You Estimate For This Vehicle   7,500+ miles per year 5,000 to 7,499 miles per year 0 to 4,999 miles per year

   Is This Vehicle Equiped With An Anit-Theft Device   No Yes - After market Installed Yes - Factory Installed Yes - On-Star /or/ LoJack

   Is This Vehicle a Hybrid   Yes No

  Automobile #2 Discounts -

---

   How Many Miles A Year Do You Estimate For This Vehicle   7,500+ miles per year 5,000 to 7,499 miles per year 0 to 4,999 miles per year

   Is This Vehicle Equiped With An Anit-Theft Device   No Yes - After market Installed Yes - Factory Installed Yes - On-Star /or/ LoJack

   Is This Vehicle a Hybrid   Yes No

  Automobile #3 Discounts -

---

   How Many Miles A Year Do You Estimate For This Vehicle   7,500+ miles per year 5,000 to 7,499 miles per year 0 to 4,999 miles per year

   Is This Vehicle Equiped With An Anit-Theft Device   No Yes - After market Installed Yes - Factory Installed Yes - On-Star /or/ LoJack

   Is This Vehicle a Hybrid   Yes No

  Automobile #4 Discounts -

---

   How Many Miles A Year Do You Estimate For This Vehicle   7,500+ miles per year 5,000 to 7,499 miles per year 0 to 4,999 miles per year

   Is This Vehicle Equiped With An Anit-Theft Device   No Yes - After market Installed Yes - Factory Installed Yes - On-Star /or/ LoJack

   Is This Vehicle a Hybrid   Yes No

  Motorcycle Discounts -

---

   How Many Miles A Year Do You Estimate For This Vehicle   7,500+ miles per year 5,000 to 7,499 miles per year 0 to 4,999 miles per year

   Is This Vehicle Equiped With An Anit-Theft Device   No Yes - After market Installed Yes - Factory Installed Yes - On-Star /or/ LoJack

   Is This Vehicle a Hybrid   Yes No

  Recreational Vehicle Discounts -

---

   How Many Miles A Year Do You Estimate For This Vehicle   7,500+ miles per year 5,000 to 7,499 miles per year 0 to 4,999 miles per year

   Is This Vehicle Equiped With An Anit-Theft Device   No Yes - After market Installed Yes - Factory Installed Yes - On-Star /or/ LoJack

   Is This Vehicle a Hybrid   Yes No