Add/Substitute a Vehicle

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Add/Substitute a Vehicle

Add or Substitute a Vehicle

Please note: this transaction is not effective until you receive a confirming call, email or the Policy Declarations page shows the change. Please call 310-4040 if you need immediate service.

Name of Policy Holder*
FirstLast
Address*
Street AddressAddress Line 2CityProvincePostal Code
Email*
Phone*
Which APREID Office do you normally deal with?*
Policy #
Effective Date of Change (YYYY-MM-DD)
Year/Make/Model of Vehicle
Date of Purchase (YYYY-MM-DD)
Serial Number
Registered Owner
Primary Driver
Daily Mileage (KM) to work/school (one way)
KM traveled per year
Is this vehicle replacing an existing one on the policy?
If Yes, identify original vehicle to be removed
How was the original vehicle disposed of? (Sold, Traded, etc)
Coverages
APREID INSURANCE STORES LTD will add the vehicle with the existing Bodily Injury, Property Damage, Medical Payments and Uninsured/Underinsured Motorists Coverages currently showing on your policy. Optional Coverages like Collision, Comprehensive and Fire/theft will not be added unless the information below is completed. To discuss the various coverage options available to you, please 310-4040
Comprehensive Coverage
Collision Coverage
Waiver of Depreciation
Rental Reimbursement
Loss Payee/Additional Insured/Lien Holder's Name
Loss Payee/Additional Insured/Lien Holder's Name
Loss Payee/Additional Insured/Lien Holder's Name
Loss Payee/Additional Insured/Lien Holder's Name
Is this vehicle leased?
New Driver Information
If you need to add a new driver for this vehicle, please complete the following section. Otherwise, skip to the bottom of the page and click the “Send" button.
Driver's Name (as it appears on license)
Date of Birth (YYYY-MM-DD)
Driver's License Number
Age First Licensed
Relationship to You
Occupation
Frequency of vehicle use

Add/Substitute a Vehicle

Add or Substitute a Vehicle

Coverages

New Driver Information

Toll Free from Anywhere

310-4040