Stay compliant and avoid last minute hassles with you indirect lending partners when providing insurance information from your customers. Protect yourself and your business by insuring that a customer’s coverage transfers with them the minute they leave your dealership lot. Make sure post delivery their damage is not your loss! The Agreement to Provide Insurance form is a convenient way for the dealer to obtain insurance information from the customer and confirm coverage with the insurance agent or company.
NOTE: We have changed the print color shading and some of the wording on this form. The print layout has not changed and will continue to line up when printed on.