Form G1603 0308 PDF Details

At the heart of the automotive and garage service industry lies the critical need for comprehensive insurance coverage, encapsulated by the intricate details of the G1603 0308 form. This form serves as a gateway for businesses within the sector, ranging from sales to service operations, to articulate their precise insurance needs and operational specifics, from the types of vehicles dealt with to the specialized services provided. Businesses are prompted to disclose a wide array of information such as business entity type, detailed descriptions of operations, specifics about vehicle sales and service percentages, and questions geared toward understanding the risk environment, such as security measures and loss history. Not only does the form offer a platform for automotive enterprises to request bespoke insurance policies by clarifying their garage liability limits and garage keepers limits, but it also ventures into specific areas like auto premises and medical payments limits, thereby painting a thorough picture necessary for tailoring coverage to the unique needs of each business. Moreover, it emphasizes the importance of transparency and honesty in the application process, alerting applicants about the serious implications of submitting false information. Thus, the G1603 0308 form embodies the conduit through which garage operations ensure they are adequately protected against potential liabilities and risks inherent to their industry.

QuestionAnswer
Form NameForm G1603 0308
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesGarage_App colony garage application form

Form Preview Example

GARAGE APPLI CATI ON

APPLI CANT I NFORMATI ON

 

 

Policy Period Requested: From __/ __/ ____ To __/ __/ ____

Business Trade Name

 

 

 

 

 

 

 

 

Mailing Address

 

 

 

 

 

City

 

County

 

 

State

Zip Code

 

 

Phone (

)

 

 

 

 

 

 

 

 

 

 

 

 

Years in this Business? ____ Years in the automotive industry? ____ Specialized Training or Certification?

What is your Website address? http: / / www.

Yes

No

Business Entity:

I ndividual

Partnership

Corporation

LLC

UNDERW RI TI NG I NFORMATI ON

1.Describe Your Operations

2.What percentage by type of vehicle do you sell or service? (* complete additional Questionnaire)

a.

Cars, sport utility, pickups, vans

 

%

d. Motorcycle & Off-road RV

 

%

b.

* Commercial trucks & trailers

 

%

e. * Construction & Farming Equipment

 

%

c.

* RV (Motorhome, Camping Trailer)

%

f. * Salvage (used) parts

%

3. What else do you do?

 

 

 

______

 

 

4.Locations where you conduct Garage Operations (include Zip Code)

1]

 

2]

3]

 

4]

5.What other businesses use your location(s)?

6.List all owners, owner’s spouses and all employees. Also list other family members who drive your vehicles. (Use another page if necessary):

Name

Date of

Birth

Driver License

Number

State of

License

Commercial Drivers License? Yes or No

Auto furnished or

available for regular

Use? Yes or No

Job Description &

Status (F= fulltime;

P= part -time)

or Relationship

7.Prior Carrier and Loss History for 3 Years

Current Carrier

Prior Carrier

Prior Carrier

No Known Losses

Policy Period

Policy Period

Policy Period

See Loss Runs

Policy Premium

Policy Premium

Policy Premium

Date of Loss

Amount

Description of Loss

G1603–0308

Page 1 of 3

SALES QUESTIONS

 

 

8.

Where do you purchase vehicles?

_____________

 

 

 

 

 

9.

Who drives or transports vehicles to your lot?

______

 

10.I f you drive or transport newly acquired autos more than 300 road miles from point of purchase to your lot, how many trips per year? ____ and how far one-way for longest trip? _____ road miles.

11.How many vehicles do you sell per year? _____ How many of those are sold over eBay or similar internet site? _____

 

How many vehicles do you sell per year on consignment?

 

(Attach Consignment Agreement)

12.

What is your normal radius of operation?

 

miles.

 

13.

Describe your theft barriers (fence & gate or post & cable):

 

_____________

14.Where are the car keys kept?

15.How many dealer plates do you have?

16.

Do you repossess vehicles?

 

 

 

 

 

Yes

No

 

I f “Yes,” explain:

 

 

 

 

 

_____________

17.

Do you repair “salvage titled” vehicles prior to sale?

 

 

Yes

No

 

I f “Yes,” what percentages of repairs are:

 

 

 

 

 

 

Structural

 

%

Mechanical

 

%

Cosmetic

 

%

 

18. Do you always ride along on test drives?

Yes

No

SERVICE QUESTIONS

 

 

19. What percentage of your work is?

 

___% Alignment

___% Oil & Lube

___% Tune Up

___% Body ___ % Paint

___% Radiator

___% Transmission

___% Brakes

___% Sound/ Alarm System

___% Upholstery

___% Engine Overhaul

___% Suspension/ Frame

___% Wash/ Detail

___% Muffler

___% Tires

___% Window Tint

 

* Describe other work done:

 

___________________

20.

Do you sell gasoline or LPG?

 

 

Yes

 

No

 

I f “Yes,” how many gallons? Gasoline ______ LPG ______

 

 

 

 

 

21.

Do you install trailer hitches?

 

 

Yes

 

No

22.

I f you paint, do you have a spray paint booth/ room?

 

 

Yes

 

No

 

 

 

 

I f “Yes,” is booth/ room ventilated?

 

 

Yes

 

No

 

I f “Yes” is booth UL approved?

 

 

Yes

 

No

23.

Do you recap tires or sell recapped tires?

 

 

Yes

 

No

24.

Do you tow for hire?

 

 

Yes

 

No

 

I f “Yes,” complete Tow Truck Operator Questionnaire.

 

 

 

 

 

25.

Do you pick-up and deliver customers vehicles?

 

 

Yes

 

No

 

How many times per Month? ____ and how far from your shop? ____ miles.

 

 

 

 

 

26.

How many Transporter Plates do you have? _____ How often are they used? _______________________________

27.Describe lot or building security: ____________________________________________________________________

28. Where are the customer’s car keys kept?

______

G1603–0308

 

Page 2 of 3

COVERAGE REQUESTED

Garage Liability Limit $

__ each accident, $

_ aggregate

 

 

 

 

 

 

 

 

 

 

Add Broadened Coverages-Garage

 

 

 

 

Additional I nsured & Why

 

 

______

____________________________________________________________________________________________

Add Liability for these Related (non garage) Operations ____________________________________________

____________________________________________________________________________________________

Garagekeepers Limit $

___ per location

Basis

Legal Liability or

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SCL or

Comp $

____ deductible

Collision $

 

 

deductible

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Value per Auto $

 

_

 

 

I n-Transit Limit per auto $

 

__

 

Primary

Dealers Physical Damage Limit $

 

____ per location

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SCL or

Comp $________ deductible

Collision $

 

deductible

 

 

Value per Auto $

 

 

Drive-Away Road Miles

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type of vehicles:

 

 

 

New

Used

 

 

 

 

 

 

I nterests Covered:

 

 

Owner

 

 

Owner and Creditor

Consignment

 

 

Loss Payee __________________________________________________________________________________

Specifically Described Autos (use ACORD 127 for additional vehicles):

Auto

No.

Year

Make

V.I .N.

Stated Amount

Auto

No.

GVW

Use

Radius

Loss Payee

 

 

 

Medical Payments Limit $

 

Auto

Premises

Combined

 

 

 

Uninsured Motorist $

 

(Signed State form selecting or rejecting coverage is required)

 

 

 

Personal I njury Protection $

 

(Signed State form selecting or rejecting coverage is required)

 

 

 

Fire Legal Liability $50,000 or $

 

 

 

 

 

 

 

 

 

Commercial Property (attach ACORD 140 and TRI A2002Notice)

 

 

Remarks:

 

 

_____

____

 

 

 

 

 

 

 

 

 

 

__________________

 

*Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, may be committing a fraudulent insurance act, and may be subject to a civil penalty or fine.

*Not applicable in all States

Signature of Applicant

 

Date ____/ ____/ ____

Agency Name

 

___________

Agent’s Signature

 

Date ____/ ____/ ____

G1603–0308

 

Page 3 of 3

 

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Step 1: Click the "Get Form" button at the top of this page to get into our editor.

Step 2: As you open the editor, you'll see the form ready to be filled out. Aside from filling in various fields, you could also do various other things with the Document, particularly putting on your own words, modifying the original textual content, inserting images, signing the PDF, and much more.

As for the blanks of this precise PDF, here's what you should consider:

1. You will want to fill out the Form G1603 0308 properly, therefore pay close attention while filling in the parts that contain all of these blank fields:

Part number 1 for filling in Form G1603 0308

2. When the last array of fields is finished, you're ready put in the required particulars in What other businesses use your, Name, Date of, Driver License, Birth, Number, State of License, Commercial Drivers License Yes or, Auto furnished or, available for regular, Use Yes or No, Job Description Status F fulltime, P parttime, or Relationship, and Prior Carrier and Loss History allowing you to go to the 3rd part.

Completing part 2 in Form G1603 0308

3. This third stage is generally straightforward - fill in all the blanks in How many vehicles do you sell per, how many trips per year and how, Sales Questions Where do you, Attach Consignment Agreement, miles, Yes, Yes, I f Yes what percentages of, Mechanical, Cosmetic, Do you always ride along on test, Yes, Service Quest ions What, Alignment Body Paint Brakes, and Oil Lube to conclude this segment.

Step no. 3 of filling out Form G1603 0308

4. All set to fill out this next section! Here you will have all of these Radiator Sound Alarm System, Describe other work done, Do you sell gasoline or LPG, I f Yes how many gallons Gasoline, Do you install trailer hitches I, I f Yes is booth room ventilated I, Do you recap tires or sell, Tune Up Transmission Upholstery, Yes, Yes, Yes Yes Yes, No No No, Yes, Yes, and I f Yes complete Tow Truck blanks to fill out.

Part number 4 in filling out Form G1603 0308

People often make errors when filling out Yes Yes Yes in this section. Don't forget to read twice what you enter here.

5. This last step to submit this PDF form is integral. Make sure you fill out the displayed blanks, consisting of COVERAGE REQUESTED, Garage Liability Limit, each accident, aggregate, Add Broadened CoveragesGarage, Add Liability for these Related, Garagekeepers Limit, SCL or Value per Auto, Comp, per location deductible, I nTransit Limit per auto, Basis Collision, Legal Liability or, deductible, and Primary, before submitting. Neglecting to do this might contribute to an unfinished and probably nonvalid document!

Best ways to complete Form G1603 0308 part 5

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