Hot Rod Policy Change Request LinkedInThis field is for validation purposes and should be left unchanged.CLASSIC COLLECTORS POLICY CHANGE REQUESTPlease Print Full Name of InsuredPolicy NumberProposed Effective DateYearMakeModelBody TypeVIN/Serial NumberExact Odometer ReadingDate of Purchase Proposed Vehicle ValueMileage Plan (1000, 3,000, over 3,000)Condition 1 (Best) 5 (Worst)Garage AddressList Modifications and/or Restoration EffortsGarage Arrangement Residence Garage Rental Storage Unit Other (Please describe) Other (Please describe)Lien HolderGarage Alarm Description Add Delete Liability Comprehensive Only Comprehensive and Collision Stated Amount Agreed Value Complete this section for changes to your policy.DescriptionAttach recent color photographs exposing all exterior views of the vehicle here. Include engine and interior photos for Modified Vehicles Front & Side 1Accepted file types: jpg, png, pdf, Max. file size: 10 MB. Rear & Side 2Accepted file types: jpg, png, pdf, Max. file size: 10 MB.
