Get National Indemnity Public Auto Application 11/03 - Piu Home

This guide provides a clear and comprehensive approach to completing the National Indemnity Public Auto Application 11/03 - PIU Home online. Follow the steps below to ensure that all necessary information is accurately filled out.

Follow the steps to successfully complete the application online.

1. Click ‘Get Form’ button to obtain the application form and open it in your online editor.
2. Begin by entering the name of the applicant and selecting the business structure from the options provided: Individual/Proprietorship, Partnership, Corporation, or Other. Provide the business phone number as well.
3. Fill in the mailing address and premises address, including city, state, and zip code for both locations.
4. Identify a person to contact for inspection, including their name and phone number.
5. Answer whether you have previously held insurance with the companies listed at the top of the form. If yes, include policy numbers and effective dates.
6. In the 'Description of Operations' section, describe the nature of your business and your experience in the field. Indicate if it is a new venture and whether it is your primary business.
7. Complete the questions regarding gross receipts from the last year and your estimates for the upcoming year, along with answering questions about the seasonal nature of the business, bankruptcy history, and business for sale.
8. Fill in the liability coverage section, indicating the desired limits of insurance, including the combined single limit or split limits for bodily injury and property damage.
9. Provide driver information for each operator, including their name, date of birth, state of their driver's license, years of experience, and accident history.
10. Describe the vehicles for which you're seeking insurance. This should include factors like vehicle make, model year, type of vehicle, and relevant safety features.
11. In the filing information section, provide any necessary regulatory authority details if applicable. Answer questions regarding licensing and filings needed.
12. Complete the uninsured motorists coverage section, making choices as appropriate.
13. Finally, review all the information for accuracy, and proceed to save or print the completed application for your records.

Complete your National Indemnity Public Auto Application online today for swift processing.