Form G1603-0308 - Garage Application
Download a blank fillable Form G1603-0308 - Garage Application in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form G1603-0308 - Garage Application with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3GARAGE APPLICATION
APPLICANT INFORMATION
Policy Period Requested: From __/__/____ To __/__/____
Business Trade Name
Mailing Address
City
County
State
Zip Code
Phone (
)
Years in this Business? ____ Years in the automotive industry? ____ Specialized Training or Certification?
Yes
No
What is your Website address?
Business Entity:
Individual
Partnership
Corporation
LLC
UNDERWRITING INFORMATION
1.
Describe Your Operations
2.
What percentage by type of vehicle do you sell or service? (*complete additional Questionnaire)
a. Cars, sport utility, pickups, vans
%
d. Motorcycle & Off-road RV
%
b. *Commercial trucks & trailers
%
e. *Construction & Farming Equipment
%
c. *RV (Motorhome, Camping Trailer)
%
f. *Salvage (used) parts
%
3.
What else do you do?
______
4.
Locations where you conduct Garage Operations (include Zip Code)
1]
2]
3]
4]
5.
What other businesses use your location(s)?
6.
List all owners, owner’s spouses and all employees. Also list other family members who drive your vehicles.
(Use another page if necessary):
Job Description &
Auto furnished or
Date of
Driver License
State of
Commercial Drivers
Status
(F=fulltime;
Name
available for regular
Birth
Number
License? Yes or No
License
P=part-time)
Use? Yes or No
or Relationship
7.
Prior Carrier and Loss History for 3 Years
No Known Losses
See Loss Runs
Current Carrier
Policy Period
Policy Premium
Prior Carrier
Policy Period
Policy Premium
Prior Carrier
Policy Period
Policy Premium
Date of Loss
Amount
Description of Loss
G1603–0308
Page 1 of 3
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business