Get Ct Commercial Automobile Application 2014-2025

The Connecticut Commercial Automobile Application is an essential document for businesses seeking commercial auto insurance. Completing this application online can be straightforward if you follow the provided guidelines.

Follow the steps to successfully complete the application online.

1. Press the ‘Get Form’ button to download the application, ensuring you have easy access to it for completion.
2. Begin by entering the producer of record in Section 1. This includes the producer's last name, first name, middle initial, agency name, mailing address, license number, and telephone number.
3. If the producer completing the application is different from the one listed in Section 1, fill in Section 1a with the certified producer's last name, first name, and any relevant information.
4. In Section 2, provide the applicant's personal details, including their last name, first name, mailing address, telephone number, tax identification number, and nature of business operations.
5. Section 3 asks about the ownership structure of the applicant's organization. Specify whether the applicant is a corporation, partnership, sole proprietor, or other entity, and provide additional details about the state of incorporation and management.
6. Fill out Section 4 with the operator information, listing all individuals who will typically drive the vehicles, along with their respective birth dates and driver's license numbers.
7. Complete Section 5 by stating any accidents involving the applicant or drivers in the last 36 months, detailing the nature of accidents if applicable.
8. Answer questions in Section 6 regarding any convictions or forfeited bail during the last 36 months for the applicant or their drivers.
9. In Section 7, identify any hazardous materials transported and indicate operational details, including routes and the nature of goods carried.
10. Section 8 requests financial figures for the cost of hire, listing the amounts relevant to the current and prior years.
11. Provide gross receipts data in Section 9, particularly required for motor carriers, indicating current and past years.
12. Fill out the vehicle information in Section 10, supplying detailed specifications for each vehicle owned.
13. In Section 11, indicate the desired coverages and premiums for different types of liability and physical damage.
14. Sections 12 to 15 require various confirmations concerning filings, payment plans, previous insurance coverage, and effective date of coverage.
15. Finally, ensure all sections are completed. Review for accuracy, save your changes, and proceed to download, print, or share the completed application.

Complete your CT Commercial Automobile Application online today and secure your commercial vehicle insurance.