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This document is a request form for the reinstatement of an automobile insurance policy that was canceled due to nonpayment. It includes instructions for submission via fax or mail, and requires the
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How to fill out automobile policy reinstatement request

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How to fill out Automobile Policy Reinstatement Request

01
Obtain the Automobile Policy Reinstatement Request form from your insurance provider's website or office.
02
Fill in your personal information, such as your name, address, and contact details.
03
Provide your policy number to identify the specific automobile policy you wish to reinstate.
04
Indicate the reason for reinstatement, explaining why the policy lapsed.
05
Attach any required documentation, such as proof of payment or identification.
06
Review the completed form for accuracy and completeness.
07
Sign and date the form to confirm your request.
08
Submit the form to your insurance provider via mail, email, or in person, according to their instructions.

Who needs Automobile Policy Reinstatement Request?

01
Former policyholders whose automobile insurance policy has lapsed and wish to reinstate it.
02
Individuals who changed their insurance providers but want to return to their previous policy.
03
Drivers who missed premium payments and are looking to regain coverage.
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People Also Ask about

Traffic violations and points can stay on your driving record or license for three to ten years. In some states, some markups are permanent. You can resolve a suspended license by taking steps to reinstate it after the suspension period is over.
Applicants will need the Application For Department of Corrections Forbearance of Reinstatement Fees–State Form 57170.
Reinstatement Fee(s) You may wish to contact our Customer Contact Center at 888-692-6841 to determine whether to pay reinstatement fees for an existing suspension.
In Indiana, the suspension period is a minimum of 90 days to a maximum of 2 years, depending on the traffic offense committed. The Indiana license suspension period will take effect 18 days after the notice of suspension is sent to the offender.
The Indiana Bureau of Motor Vehicles (BMV) reinstatement fees vary depending on the reason for your suspension and the number of times your license has been suspended. They range from $250 to $1,000. You can find how much you owe in the Suspension Information section of your Official Driver Record (ODR).

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An Automobile Policy Reinstatement Request is a formal application made by a policyholder to reactivate their automobile insurance policy after it has lapsed or been canceled.
Policyholders whose automobile insurance policies have lapsed or been canceled due to non-payment, changes in circumstances, or other reasons are required to file an Automobile Policy Reinstatement Request.
To fill out an Automobile Policy Reinstatement Request, the policyholder needs to complete the designated form provided by their insurance company, including personal details, policy number, the reason for reinstatement request, and any required payment for outstanding premiums.
The purpose of an Automobile Policy Reinstatement Request is to allow insured individuals to reinstate their coverage, ensuring they are legally allowed to drive and protected against risks associated with automobile ownership.
The information required on an Automobile Policy Reinstatement Request typically includes the policyholder's name, contact information, policy number, reasons for reinstatement, and any payment details for premiums owed.
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