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Format: (000) 000-0000.
- Coverage start date (this can be changed later)
- Describe the vehicle
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- Is the vehicle running and in good, working and road ready condition?
- Do you currently own this vehicle, or is it a new purchase? (by new purchase, we mean that it is "new to you", and not necessarily a brand new model year car)
- If you are purchasing the vehicle, which best describes the purchase:
- Do you now, or do you ever plan to use the vehicle for Uber, Lyft, DoorDash or any other "gig" work? This is extremely important. Read and think it over carefully. If you use the car to earn money and then suffer an accident, you risk SIGNIFICANT exposure if you do not have proper insurance.
- Have you recently had difficulty getting coverage or affordable options due to prior accidents or a poor driving record? We ask only so we can best assist you with getting coverage. We help everyone, regardless of their barriers.
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- Should be Empty: