Get Driving History Questionnaire. Prior Authorization Form

Filling out the Driving History Questionnaire. Prior Authorization Form online is an essential step in your application process. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to successfully complete your form.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. Fill in your evidence number, policy number, and personal details. Include your first name, middle initial, last name, date of birth, province of driver's license, and driver’s license number.
3. Provide the name and number of your advisor for reference.
4. Answer the first question regarding any moving violations in the last five years. If you answer ‘Yes’, list the details related to the date of the offence and the reason.
5. Proceed to the second question concerning any suspensions or revocations of your driver’s license within the last five years. If you answer ‘Yes’, provide the date, reason, and length of suspension.
6. Respond to whether this was your first suspension. If you answer ‘No’, detail the previous suspensions, including their dates, reasons, and lengths.
7. Review the declaration section and confirm that all information is complete and truthful. This section also includes locations for signature and date.
8. Sign and date the authorization section, permitting the retrieval of your Motor Vehicle Record.
9. Finalize by submitting the form as instructed: either to your advisor via fax or through the appropriate channels.

Complete your Driving History Questionnaire. Prior Authorization Form online today to ensure a smooth application process.