Auto Insurance Template (The Zebra)

An auto insurance template application is a form or digital questionnaire that an individual completes when seeking to purchase automobile insurance. The application collects a range of information that the insurance company uses to assess the risk associated with insuring the individual and the vehicle, which in turn determines the premium rates.

Here are some typical components and information requested in an auto insurance template application:

Personal Information

• Name
• Address
• Date of birth
• Social Security number (or other identification numbers in some countries)
• Occupation

Driving History

• Number of accidents or violations in the past specified number of years
• Previous insurance coverage and any lapses in coverage
• Driver’s license number

Vehicle Information

• Make, model, and year
• Vehicle Identification Number (VIN)
• Usage (e.g., commuting, business, pleasure)
• Estimated annual mileage
• Safety features and anti-theft devices installed

Coverage Details

• Type of coverage desired (liability, comprehensive, collision, uninsured/underinsured motorist, etc.)
• Deductible amounts for comprehensive and collision coverage
• Desired limits of liability

Additional Drivers

• Information about other drivers in the household or others who will be driving the vehicle

Discounts

• Some applications will ask about eligibility for various discounts (e.g., multi-car discount, good student discount, safe driver discount, defensive driving courses taken).

Payment Information

• Preferred payment plan (e.g., monthly, quarterly)
• Method of payment (e.g., bank draft, credit card)

Previous Insurance

• Information about your prior auto insurance, if applicable.

Statements & Signatures

• Attestation that the information provided is accurate to the best of the applicant's knowledge.
• Authorization for the insurance company to obtain reports (e.g., credit, claims, driving record) to verify the information provided.

Once the auto insurance template application is completed, the insurance company will evaluate the information, possibly check the applicant's driving record and credit score, and then offer a quote for the insurance policy. If the applicant accepts, the policy can then be finalized and issued.