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  • Cic-2134 2009

Get Cic-2134 2009-2025

Reset I m Interactive Commerce Insurance 211 Main Street Webster Massachusetts 01570 508 943 9000 GOOD STUDENT DISCOUNT FORM Named Insured Producer Name Mailing Address Producer Code City/State Zip Code Policy Effective Date Student Information StudentName -------------------------------------School Class Freshman Sophomore Junior Senior School Information School Name and Address Academic Certification To be Completed by School Official For the academic period immediately preceding this certification the student noted above has met one of the following requirements Is in the upper 20 of his or her class scholastically or Maintains a B average or higher or its equivalent or if the letter grading system cannot be average then no grade is below a B or Maintains a numerical grade point average or 3. 0 in a system assigning numerical grade points of 4. 0 3. 0 2. 0 and 1. 0 or Was included on the Dean s List Honor Roll or comparable list indicating scholastic achievement. Date Name and Title....

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How to fill out the CIC-2134 online

Filling out the CIC-2134 form is an essential step for users seeking a good student discount through their insurance. This guide provides clear and supportive instructions to help you navigate the online version of the form with ease.

Follow the steps to successfully complete the form

  1. Click ‘Get Form’ button to obtain the CIC-2134 online and access it in the editor.
  2. Begin by entering the 'Named Insured' and 'Producer Name' fields. Ensure that you use the full legal names as required.
  3. Fill in the 'Mailing Address', including the street address, city, state, and zip code for accurate correspondence.
  4. Enter the 'Policy Effective Date'. This should be the date when your insurance coverage begins.
  5. Provide the 'Student Information' by entering the full name of the student and selecting their school class from the provided options.
  6. In the 'School Information' section, fill out the 'School Name and Address' to specify the institution the student attends.
  7. For the 'Academic Certification', this section must be completed by a school official. Ensure that they indicate whether the student meets one of the specified academic criteria.
  8. The school official must add the date, their name, title, and provide their signature to validate the academic certification.
  9. If the student is homeschooled, choose one of the two certification options provided. Make sure to attach the required documentation accordingly.
  10. Once all sections are completed, review the form for accuracy. You can then save your changes, download a copy, print it, or share the form as needed.

Start filling out the CIC-2134 online today to apply for your good student discount!

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© Copyright 1997-2025
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
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
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
airSlate WorkFlow
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 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232