In order to maintain compliance with state regulations, many businesses are turning to the State Steer Clear Form. The form is a comprehensive report that highlights a business' regulatory obligations and helps them stay in compliance with state laws. Completing the form can be time-consuming, but it's well worth the effort to avoid costly fines and penalties. By taking advantage of the State Steer Clear Form, businesses can protect their bottom line while ensuring compliance with state law.
You'll discover info about the type of form you want to fill out in the table. It will tell you how much time it will require to complete state steer clear form, what parts you will have to fill in, and so forth.
| Question | Answer |
|---|---|
| Form Name | State Steer Clear Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | state farm steer clear safe driver, statefarm steer clear, steer clear form, state farm steer clear driving program |
State Farm Mutual Automobile Insurance Company
State Farm Indemnity Company
State Farm Fire and Casualty Company
Statement For Qualification For Steer Clear® Discount
Policyholder’s Name
Qualifying Driver(’s) Name(s)
Policy Number
STEER CLEAR DISCOUNT INITIAL REQUIREMENTS
1.Qualifying driver(s) have maintained an
2.Qualifying driver(s) have completed the educational and driving log requirements in good faith, and
3.All private passenger automobiles in the household are insured with State Farm Mutual Automobile Insurance Company, State Farm Fire and Casualty Company, State Farm Indemnity Company, and or State Farm Guaranty Company.
TO MAINTAIN STEER CLEAR DISCOUNT
1.Qualifying driver(s) continue to maintain an
2.Qualifying driver(s) should complete Second Education material received prior to 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
Signature of Qualifying Driver |
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Signature of Qualifying Driver |
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Signature of Qualifying Driver |
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Signature of Parent/Guardian/Named Insured (if qualifying driver is under age 18) |
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Agent’s Name and Code |
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* In some states, certain accidents and moving violations may not disqualify you.