File name: Driver Exclusion Form Pdf
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BBB A+ Rated Business · Fast, Easy & Secure · Edit On Any Device · 3M+ Satisfied CustomersService catalog: Document Management, Electronic Signatures, Cloud Storage. Form Search Engine · Fast, Easy & Secure · 5 Star Rated · Money Back GuaranteeService catalog: Document Management, Electronic Signatures, Cloud Storage. Coverage while your covered auto or any other motor vehicle is operated by the excluded driver. Acknowledged by: (Named Insured’s Signature) (Date) (Agent’s Signature) (Date) FORM . This endorsement is a part of the policy. Except for the changes this endorsement makes, all other provisions of the policy remain the same and apply to this endorsement. *Signature required only if previous policy did not contain an endorsement excluding coverage while the person named above is operating any insured vehicle. This exclusion from coverage applies to any use or operation of a motorized vehicle including the negligent or alleged negligent entrustment of a motorized vehicle to any designated excluded driver listed above. DRIVER EXCLUSION ENDORSEMENT This endorsement is a part of the policy. Except for the changes this endorsement makes, all other provisions of the policy remain the same and apply to this endorsement. IT IS AGREED THAT, except as to the named insured’s legal liability, WE SHALL NOT BE LIABLE AND NO LIABILITY OR OBLIGA-. Apr 8, · Download a PDF form to exclude a driver from your auto insurance policy. The form requires the name, birth date and relationship of the excluded driver and the signature of the insured and spouse (if applicable). This endorsement is a part of the policy. Except for the changes this endorsement makes, all other provisions of the policy remain the same and apply to this endorsement.
