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Catholic Diocese of Richmond 403×b) Plan Permissible Withdrawal of Automatic Enrollment Elective Deferrals Form Group ID# 71297001 VALID Retirement Services Company 1. CLIENT INFORMATION Please print
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How to fill out permissive withdrawal of auto

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How to fill out permissive withdrawal of auto:

01
Obtain the permissive withdrawal of auto form: The first step is to locate the permissive withdrawal of auto form. You can usually find this form on your insurance company's website or by contacting your insurance agent.
02
Fill out personal information: Start by providing your personal information in the designated fields. This may include your name, address, phone number, and policy number.
03
Specify the vehicle details: Provide the details of the vehicle you wish to have permissively withdrawn from your policy. This typically includes the make, model, year, and vehicle identification number (VIN).
04
Indicate the effective date: Specify the date on which you want the permissive withdrawal to take effect. This is the date from which your insurance company will no longer provide coverage for the specified vehicle.
05
Sign and date the form: Once you have completed filling out the required information, sign and date the form to make it legally valid. Some forms may also require a witness signature.

Who needs permissive withdrawal of auto:

01
Individuals with multiple vehicles: If you own multiple vehicles, but only use some occasionally or want to exclude them from your insurance coverage temporarily, you may need a permissive withdrawal of auto.
02
Families with young drivers: If you have a teenage driver in your household who occasionally uses your vehicle, you may consider a permissive withdrawal of auto to exclude their vehicle usage from your policy. This can help in controlling insurance costs associated with young drivers.
03
Non-owners of a vehicle: If you don't own a vehicle but occasionally borrow a friend or family member's car, a permissive withdrawal of auto can be used to exclude that specific vehicle from your insurance policy.
Remember, specific criteria may vary depending on your insurance provider and local regulations. It is always recommended to consult with your insurance agent or company for guidance on properly filling out the permissive withdrawal of auto form.
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Permissive withdrawal of auto is a process through which an individual can remove a vehicle from their auto insurance policy temporarily.
The policyholder or vehicle owner is required to file permissive withdrawal of auto.
To fill out permissive withdrawal of auto, the policyholder needs to contact their insurance provider and follow their specific process for removing a vehicle from the policy temporarily.
The purpose of permissive withdrawal of auto is to remove a vehicle from the insurance policy temporarily, typically due to the vehicle being inoperable or not in use.
The policyholder must report information such as the vehicle identification number (VIN), reason for withdrawal, and the expected return date of the vehicle.
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