Agent Application
Resume:
ProvidingInsuranceandFinancialServices
KEEPTHISCARDINTHEVEHICLEATALLTIMES
SEEREVERSESIDE
PRESENTTHISFORMTOTHEMOTORVEHICLEDEPARTMENTWITH
YOURAPPLICATIONFORREGISTRATION
StateFarm
®
ForEMERGENCYROADSERVICEusetheStateFarmmobileapp,logontostatefarm.com,orcall ForEMERGENCYROADSERVICEusetheStateFarmmobileapp,logontostatefarm.com,orcall Promptlynotifyyouragent,logontostatefarm.com®,orusetheStateFarmmobileapptofileaclaim. Promptlynotifyyouragent,logontostatefarm.com®,orusetheStateFarmmobileapptofileaclaim. Attachedasrequestedisacourtesycopyofyourreplacementinsuranceidentificationcards.Youwillreceive yourprintedreplacementcardsinthemail.Inthemeantime,iftheattachedcopiesarenotacceptedbyalaw enforcementagencyoryourDepartmentofMotorVehicleoffice,pleasecontactyouragenttoreceiveadditional assistance.
ThankyouforchoosingStateFarmforyourinsuranceneeds. INSURED
POLICYNUMBER
EFFECTIVEDATE
YR MAKE MODEL
VIN
PHONE
EXPIRATIONDATE
INSURED
POLICYNUMBER
EFFECTIVEDATE
YR MAKE MODEL
VIN
PHONE
EXPIRATIONDATE
INSURANCEIDENTIFICATIONCARD
ISSUEDPURSUANTTOCONNECTICUTLAW
INSURANCEIDENTIFICATIONCARD
ISSUEDPURSUANTTOCONNECTICUTLAW
CONNECTICUTLAWPROVIDESASFOLLOWS:
FORPRIVATEPASSENGERMOTORVEHICLES:
1.AnAutomobileInsuranceIdentificationCardshallatalltimesbecarriedineachprivatepassenger motorvehicleregisteredintheState.Thecardmustbeproducedupondemand. 2.NoregistrationshallbeissuedorrenewedbytheCommissionerofMotorVehiclesforanyprivate passengervehicleunlesstheIDCardispresentedtotheCommissionerwiththeregistration application.
3.EachpersonpresentinganInsuranceIdentificationCardtotheCommissionerortoalaw enforcementofficershallbedeemedtohavefullknowledgeandunderstandingthepresentationof suchcardmeanstheownerofthevehiclesoregisteredhasprovidedandwillcontinuouslymaintain throughouttheregistrationperiodtheminimumsecurityrequiredbylaw. FORMOTORCYCLES:
CONNECTICUTLAWPROVIDESASFOLLOWS:
FORPRIVATEPASSENGERMOTORVEHICLES:
1.AnAutomobileInsuranceIdentificationCardshallatalltimesbecarriedineachprivatepassenger motorvehicleregisteredintheState.Thecardmustbeproducedupondemand. 2.NoregistrationshallbeissuedorrenewedbytheCommissionerofMotorVehiclesforanyprivate passengervehicleunlesstheIDCardispresentedtotheCommissionerwiththeregistration application.
3.EachpersonpresentinganInsuranceIdentificationCardtotheCommissionerortoalaw enforcementofficershallbedeemedtohavefullknowledgeandunderstandingthepresentationof suchcardmeanstheownerofthevehiclesoregisteredhasprovidedandwillcontinuouslymaintain throughouttheregistrationperiodtheminimumsecurityrequiredbylaw. FORMOTORCYCLES:
NoregistrationshallbeissuedorrenewedonorafterOctober1,1984bytheCommissionerofMotor VehiclesforanymotorcycleunlessproofofinsuranceispresentedtotheCommissionerwiththe registrationapplication.
NoregistrationshallbeissuedorrenewedonorafterOctober1,1984bytheCommissionerofMotor VehiclesforanymotorcycleunlessproofofinsuranceispresentedtotheCommissionerwiththe registrationapplication.
NOTICE:
YOUHAVETHERIGHTTOCHOOSETHELICENSEDREPAIRSHOPWHERETHEDAMAGETOYOUR MOTORVEHICLEWILLBEREPAIRED.
NOTICE:
YOUHAVETHERIGHTTOCHOOSETHELICENSEDREPAIRSHOPWHERETHEDAMAGETOYOUR MOTORVEHICLEWILLBEREPAIRED.
1-877-***-****.EXAMINEPOLICYEXCLUSIONSCAREFULLY.THISFORMDOES NOTCONSTITUTEANYPARTOFYOURINSURANCEPOLICY.
NOTCONSTITUTEANYPARTOFYOURINSURANCEPOLICY.
1-877-***-****.EXAMINEPOLICYEXCLUSIONSCAREFULLY.THISFORMDOES EmergencyRoadServiceinformationislocatedonyourinsurancecard. EmergencyRoadServiceinformationislocatedonyourinsurancecard. PCTB
JUN142023
JUN142023
NAIC25178
NAIC25178
1019669-F14-07
1019669-F14-07
JACKSON,MICHAEL
182WMAINSTAPT10
STAMFORDCT06902-5027
JACKSON,MICHAEL
182WMAINSTAPT10
STAMFORDCT06902-5027
DEC142023
DEC142023
VOL
VOL
Agent CHRISBOYLE
Agent CHRISBOYLE
StateFarmMutualAutomobileInsuranceCompany
StateFarmMutualAutomobileInsuranceCompany
POBox2358
BloomingtonIL61702-2358
MUTL
MUTL
2007 DODGE CARAVAN
2D4GP44LX7R281104
2007 DODGE CARAVAN
2D4GP44LX7R281104
APR202023
Contact this candidate