Steer Clear Form PDF Details

Navigating the pathways to car insurance discounts requires a keen understanding of the various forms and qualifications that insurance companies set forth. Among them, the State Steer Clear form stands out as a pivotal document for young drivers under the age of 25 who aim to lower their insurance costs through the Steer Clear Safe Driver Discount. This discount not only incentivizes safe driving practices but also mandates the completion of educational programs and maintaining a clean driving record, free from accidents and moving violations, over a specified period. With an initial requirement demanding that all drivers under 25 be accident-free and without moving violations for the past three years, and a continuation clause requiring the completion of a second educational material before their 21st birthday, it's clear the program is designed with a focus on promoting long-term safe driving habits. The form itself captures essential information including policyholder and qualifying driver names, policy number, and a declaration by the applicant confirming their eligibility for the discount, underscoring the importance of personal responsibility and accuracy in maintaining one’s eligibility. The structure of the form and the signatures required from the qualifying driver, and in cases where the driver is under 18, a parent, guardian, or named insured, reinforce the collaborative approach between insurer, insured, and beneficiaries to foster safer driving behaviors. This careful blend of requirements underscores the program's objective to not only provide immediate financial relief but also instill enduring safe driving habits in young motorists.

QuestionAnswer
Form NameState Steer Clear Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesstate farm steer clear, state farm steer clear driving program, steer clear discount, state farm insurance steer clear

Form Preview Example

Statement of qualification for Steer Clear® Safe Driver Discount

Policyholder's name

Qualifying driver name(s)

Qualifying driver name(s)

Policy number

Qualifying driver name(s)

Qualifying driver name(s)

STEER CLEAR SAFE DRIVER DISCOUNT INITIAL REQUIREMENTS

(1)All drivers under age 25 have maintained an accident-free and moving violation-free driving record in the past three years.*

(2)All drivers under age 25 have completed the educational and driving log requirements in good faith.

TO MAINTAIN STEER CLEAR SAFE DRIVER DISCOUNT

(1)All drivers under age 25 continue to maintain an accident-free and moving violation-free driving record.*

(2)All drivers under age 25 should complete Second Education material received before their 21st birthday.

Applicant's statement

I have met the initial requirements for the Steer Clear Safe Driver Discount and understand that I will lose the discount if I am involved in an at-fault accident or receive a moving violation.

Signature of qualifying driver

Signature of qualifying driver

Signature of parent/guardian/named insured (if qualifying driver is under age 18)

Agent name

Date (MM/DD/YYYY)

Date (MM/DD/YYYY)

Date (MM/DD/YYYY)

Agent code

*In some states, certain accidents and moving violations may not disqualify you.

1006989

151062.2 03-23-2018

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