Get Chubb Collector Car Underwriting Supplement

Filling out the CHUBB Collector Car Underwriting Supplement is an essential step in obtaining collector car insurance. This guide will provide you with the necessary steps to complete the form accurately and efficiently.

Follow the steps to successfully complete the form online.

1. Click the ‘Get Form’ button to obtain the document and open it for editing.
2. Begin by filling in the agency information, including the preferred effective date, quote or policy number, agency code, and agency name.
3. Next, complete the applicant information section by entering the last name, first name, address, city/state, and phone number of the applicant.
4. Move on to the driver information section. List all licensed members of the household as well as anyone else who drives the listed vehicle(s). For each driver, include their name, driver's license number, state licensed, date of birth, occupation, relationship to the insured, whether they operate a collector vehicle, and the percentage of use.
5. Document all traffic convictions and claims for each driver in the past three years. Provide approximate amounts paid for each claim recorded.
6. Fill out the collector vehicle information by detailing each vehicle, including the year, make/model/body type, whether it is high performance, state registered, years owned, and condition rated from 1 to 100.
7. Input the agreed value, annual mileage, and odometer reading for each collector vehicle. If the garage location differs from the mailing address, provide that information as well.
8. List any regular use vehicles in the household, indicating the year, make/model, driver, current insurer, and current liability limits.
9. Address the additional questions regarding the collector vehicles, including the total number of collector vehicles owned, total collection value, repair/restoration status, modification details, daily transportation use, race/rally use, garage security, flood zone, and membership in automobile clubs.
10. Once all form fields are completed, ensure that all information is accurate. Save your changes, and you may choose to download or print the form for your records, or share it as needed.

Complete the CHUBB Collector Car Underwriting Supplement online today for comprehensive collector car coverage.