Collector Car Quote

1. Preferred effective date of coverage?

2. Previous losses or violations (last three years)?

3. Any operators under 25 years of age?

4. Any collector vechile used for racing or rallying?

5. Any collector vehicle used for driving to and from work or school?

6. Any collector vechile used for errands, back-up, primary or secondary transportation?

7. Does engine, body or drivetrain differ from car makers original?

8. Will engine, body, or drivetrain be changed?

9. Will horsepower or body be changed?

10. How many licensed operators in household?

11. Garage construction (describe walls & roof)

12. Any security systems (fire or burglary)?

13. Total number of collector vehicles owned

14. Operator Information (Name, Date of Birth, License No)

15. To what automobile clubs do you belong?

16. Remarks (Explain "Yes" responses)