State Steer Clear Form PDF Details

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.

QuestionAnswer
Form NameState Steer Clear Form
Form Length1 pages
Fillable?Yes
Fillable fields1
Avg. time to fill out27 sec
Other namessteer clear state farm, state farm steer clear driving program, state farm steer clear completion form, steer clear form state farm

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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filling out state farm insurance steer clear step 1

Complete the D, for, office, use, only, Date, MM, DD, YYYY D, for, office, use, only, Date, MM, DD, YYYY D, for, office, use, only, Date, MM, DD, YYYY Agent, name and Agent, code fields with any particulars which may be demanded by the platform.

part 2 to filling out state farm insurance steer clear

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