Get Operator Exclusion Form - Lashua-lachance Insurance

Filling out the Operator Exclusion Form for Lashua-LaChance Insurance is an essential step in ensuring proper coverage for your automobile. This guide will walk you through the process of completing the form accurately and efficiently online.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. In the first section, provide the name of the excluded operator by filling in the space labeled 'Excluded Operator:'. It is crucial to ensure the name entered matches their identification documents to avoid discrepancies.
3. Next, you will enter details about the vehicle(s). You will need to fill in the information about the first vehicle under the 'Vehicle Description:' section. Include details such as the make, model, year, and vehicle identification number (VIN).
4. If there is another vehicle to be excluded as well, provide its details in the second 'Vehicle Description:' section. Ensure all vehicle information is accurate as this is critical for your insurance coverage.
5. After completing the vehicle section, you must date the form in the designated area. This indicates when the exclusion is being requested.
6. Next, have the policyholder sign in the 'Policyholder’s Signature' line, affirming their understanding of the implications of the form. This step is necessary for the validity of the form.
7. The excluded operator must also provide their signature on the corresponding 'Excluded Operator’s Signature' line. This acknowledges their exclusion from operating the specified vehicle(s).
8. Once all required sections and signatures are completed, you can save any changes, download the form, or print it for your records. Review the entire form for accuracy before finalizing.

Complete your documents online today for a smoother insurance process.