Policy Change Forms - Address Change - Add a Vehicle - Delete a Vehicle - Replace a Vehicle - Change Vehicle Use Web Links Emergency Claims Insurance Tips Glossary of Terms Downloadable Forms       Policy Change Forms - Vehicle Addition About You   Name(s) of insured(s):   1st insured: 2st insured: How can we reach you? E-Mail Phone E-mail address: Daytime telephone #: Home telephone #: Fax #:     New Vehicle   Vehicle make: Year: Model: Condition at time of purchase: New Demo Used Purchase date(dd/mm/yy): Purchase price: VIN (vehicle ID #):     Any non-factory modifications to the vehicle? Yes     No Any unrepaired damage? Yes     No If yes, specify: Is vehicle leased or financed Yes     No If yes, specify: Name of registrant: Use of vehicle: Pleasure Commuting Business Farming Other Comments (details if use is other): Kilometres traveled per year: 0-5000 5001-10000 10001-15000 15001-20000 20001-25000 25001-30000 30001-over How many kilometers one-way for daily commute? N/A 0-9 9-16 17-24 25-34 35-50 50+ Will adding this vehicle result in changes in use of other vehicles owned? Yes     No     Driver Information   (for all drivers who will be operating this vehicle) Driver #1 Driver #2 Driver #3 Driver: Date of birth (dd/mm/yyyy): Driver type: Principal Occasonal Principal Occasonal Principal Occasonal     Effective Date   When will this change be effective? (dd/mm/yyyy):     About Your Insurance (Specify the policy to which this change applies)   Company: Policy #: Additional Comments:       Disclaimer