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Get Custom & Modified Vehicle Worksheet

Ly: This information will be used to determine partial or whole replacement of the vehicle and/or its components in the event of a loss. High-value accessories should be specifically listed and shown in accompanying photographs. 1.) One sheet per vehicle 2.) Attach additional pages if necessary 3.) Send this sheet along with your completed Hagerty application and four detailed photographs. Owner Name BODY Steel VIN #.

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How to fill out the Custom & Modified Vehicle Worksheet online

Filling out the Custom & Modified Vehicle Worksheet is essential for ensuring that your vehicle is accurately protected. This guide provides clear steps to assist you in completing the form correctly and efficiently.

Follow the steps to fill out the form accurately:

  1. Press the ‘Get Form’ button to access the worksheet and open it in your chosen editor.
  2. Start by entering your name in the ‘Owner Name’ field at the top of the form. This identifies you as the vehicle owner.
  3. Fill in the 'VIN #' field with your vehicle's unique identification number. This is crucial for identifying your specific vehicle.
  4. In the 'BODY' section, indicate the material of the body by selecting one or more options provided (Steel, Fiberglass, Aluminum, Other) and describe any modifications made.
  5. Estimate and record the costs associated with parts and labor for your vehicle in the designated fields.
  6. For 'PAINT/DETAILING', indicate whether there is any special paint or detailing work. If yes, provide details in the description box.
  7. Proceed to outline any aftermarket gauges, custom upholstery, or seatbelt configurations in the respective sections, marking 'Yes' or 'No' as necessary while providing descriptions.
  8. In the 'FRAME/CHASSIS' section, specify the type (Stock or Modified) and describe modifications if applicable. Include any additional features related to the frame and chassis.
  9. Detail any stereo or electronic equipment valued over $1,000, specifying their costs as necessary in the STREO AND ELECTRONIC EQUIPMENT section.
  10. In the 'ADDITIONAL FEATURES' section, note any other significant features of your vehicle that should be included, along with their associated costs.
  11. Complete the application by signing in the 'Applicant Signature' field and adding the date of completion.
  12. Review all fields for completeness, saving the changes made. You may then download, print, or share the completed form as needed.

Begin filling out your Custom & Modified Vehicle Worksheet online today to ensure comprehensive coverage for your vehicle.

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