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Doc No. NIBSOPSFRMxx; Rev 00SCHOOL BUS APPLICATION FORM
OLD RIDER NEW RIDER
NAME OF SCHOOL: ___
SCHOOL YEAR: ___
STUDENT INFORMATION
No. Last
NameFirst NameYearClassGenderStart Date1
2
3
4AYM5
PARENTS
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Who needs old rider?
01
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02
Policyholders who have had changes in their personal information or coverage needs may need to update their old rider.
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What is old rider?
Old Rider is a supplemental form or attachment to an insurance policy that provides additional coverage or details.
Who is required to file old rider?
Policyholders who wish to add extra coverage or make changes to their existing insurance policy may be required to file an old rider.
How to fill out old rider?
To fill out an old rider, policyholders typically need to provide their policy number, details of the changes or additional coverage desired, and sign the form.
What is the purpose of old rider?
The purpose of an old rider is to modify or add coverage to an existing insurance policy without issuing a completely new policy.
What information must be reported on old rider?
The old rider typically requires details of the changes to the policy, any additional coverage being added, and the policyholder's signature.
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