Transcription of COMMERCIAL AUTOMOBILE APPLICATION
{{id}} {{{paragraph}}}
Example: tourism industry
COMMERCIAL AUTOMOBILE APPLICATION
CAS-APP-1 (1-04) Page 1 of 7 Home Office: One Nationwide Plaza Columbus, Ohio 43215 Administrative Office: 8877 North Gainey Center Drive Scottsdale, Arizona 85258 1-800-423-7675 Fax (480) 483-6752 A STOCK COMPANY COMMERCIAL AUTOMOBILE APPLICATION Name of Applicant: Agent Name: D/B/A: Street Address: Address: Mailing Address: Agent No.: Phone Number: ( ) PROPOSED EFFECTIVE DATE: Website: From To 12:01 , Standard Time, at the address of the Applicant. PLEASE ANSWER ALL QUESTIONS IF THEY DO NOT APPLY, INDICATE NOT APPLICABLE.
CAS-APP-1 (1-04) Page 2 of 7 13. Are any units customized or altered, or do they have special equipment?.....Yes No If yes, how are they altered?
Loading..
Tags:
Information
Domain:
Source:
Link to this page:
Please notify us if you found a problem with this document: