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NEW YORK STATE DEPARTMENT OF FINANCIAL SERVICES
PERSONAL AUTO DECLARATIONS PAGE FORM FILING COMPLIANCE QUESTIONNAIRE
PAGE 1 OF 2
COMPANY Contact:
Email Address:Co. File No.
Phone Number:Instructions:
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How to fill out personal auto declarations page
How to fill out personal auto declarations page
01
Start by providing your personal information such as your name, address, and contact details.
02
Specify the details of the vehicle you are insuring, including the make, model, year, and VIN number.
03
Indicate whether you own or lease the vehicle, and if there are any lienholders.
04
Provide information about your driving history, including any accidents or violations.
05
Mention the purpose of your vehicle usage, such as for personal or business use.
06
Specify the coverage options you want, such as liability, collision, comprehensive, and uninsured motorist.
07
Include information about any additional drivers who will be using the vehicle.
08
Provide details about your current insurance policy, including the carrier and policy number, if applicable.
09
Review the declaration page thoroughly before submitting to ensure all information is accurate.
Who needs personal auto declarations page?
01
Anyone who owns or leases a personal vehicle and wants to insure it needs to fill out a personal auto declarations page.
02
It is mandatory for individuals who wish to obtain auto insurance or renew their existing policy.
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What is personal auto declarations page?
The personal auto declarations page is a document that outlines the specifics of an individual's auto insurance policy, including coverage limits, premium amounts, and vehicle information.
Who is required to file personal auto declarations page?
Anyone who owns a vehicle and is obtaining auto insurance coverage must file a personal auto declarations page with their insurance provider.
How to fill out personal auto declarations page?
To fill out the personal auto declarations page, provide information about the insured vehicles, including make, model, year, VIN, coverage types, and named insured individuals.
What is the purpose of personal auto declarations page?
The purpose of the personal auto declarations page is to summarize the coverage provided by the auto insurance policy and to serve as an official record of the insurance agreement.
What information must be reported on personal auto declarations page?
The personal auto declarations page must report information such as the insured vehicle details, coverage limits, deductibles, premiums, and any additional endorsements or restrictions.
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