The CIC-2134 form is a one-page document issued by Commerce Insurance. It allows students to apply for a Good Student Discount on their auto insurance policy. Qualifying students submit this form to lower their insurance premiums based on academic performance.
Eligibility Requirements
To qualify for the Good Student Discount, a student must meet one of the following criteria. Students who rank in the upper 20% of their graduating class are eligible. A grade point average of 3.0 or higher also qualifies. Students who maintain a "B" average with no grade below a "B" can apply as well. Being listed on the Dean's List or Honor Roll meets the requirement too.
Home-schooled students have their own path to qualify. They can submit standardized test scores or third-party certification documents as proof of academic achievement.
What Information Does the CIC-2134 Form Require
The form collects the student's full name and current class year. Class years range from freshman to senior. The school name and location must also be provided. A licensed school official must sign the Academic Certification section to confirm that the student meets the qualifying criteria. Home-schooled students must attach their supporting documents to the form instead of the school official's signature.
How the Good Student Discount Works
Commerce Insurance reviews the completed CIC-2134 form to verify the student's academic standing. Once approved, the discount applies directly to the auto insurance policy. Students generally need to submit updated records once a year to maintain the discount. The exact premium reduction depends on the student's qualifications and the insurer's rate schedule.
Related Auto Insurance Forms
Looking for other insurance discount forms? The State Farm Good Student Discount Form is a similar option for State Farm policyholders. You can also explore the Automobile Insurance Application to start a new policy. For other adjustments to your coverage, see the Allstate Insurance Appeal Form.
| Question | Answer |
|---|---|
| Form Name | CIC 2134 Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | good student discount form, cic-2134, commerce insurance student discount, good student form, allstate good student form, state farm insurance good student discount, state farm student discount |
