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ANNUAL MILEAGE DISCOUNT FORM Request for Information This form will be used only for automobile insurance purposes. In order to verify annual mileage, please complete and return this form by mail.

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How to fill out the CIC-750 AMD Form Rev.docx online

Filling out the CIC-750 AMD Form Rev.docx online is an essential step in ensuring accurate automobile insurance processing. This guide will help you navigate the necessary fields and provide clear instructions for submitting your annual mileage information.

Follow the steps to complete the form accurately.

  1. Press the ‘Get Form’ button to obtain the document and open it in your preferred editor.
  2. Locate the 'Policy #' field and enter your insurance policy number, ensuring accuracy to facilitate processing.
  3. In the 'Insured:' section, input your full name as it appears on your insurance documentation.
  4. Fill in the 'Agent Name:' field with your insurance agent's name, as listed in your policy documents.
  5. Provide your agent's phone number in the specified section, ensuring it is correct for follow-up purposes.
  6. For each vehicle, complete the registration number (plate), year, make and model, and vehicle identification number (VIN) fields.
  7. Enter the current odometer reading for each vehicle as of the date you sign the form.
  8. Review all entered information for accuracy and completeness before certifying your data.
  9. Certify your information by signing in the provided 'Insured Signature' field and entering the 'Date Completed.'
  10. Once completed, save your changes, download the document, and prepare to submit it by mail or fax to Commerce Insurance.

Complete your documents online today for a streamlined insurance process.

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© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232