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Details
Principal driver's Date of Birth
Vehicle year
Has the vehicle been modified? 
All drivers of the vehicle will be over 25 years of age and hold a current full drivers licence? 
In the last 5 years have you, or anyone else who will drive the vehicle, had any insurance claims, speeding tickets, or loss of licence? 
In the last 5 years have you, or anyone else who will drive the vehicle, ever had any insurance cancelled, insurance renewal refused or had an insurance claim denied? 
Have you ever declared bankruptcy? 
Are there any criminal convictions (that are not covered by the Clean Slate Act) that you need to advise us of for yourself or any of the intended drivers? 

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Classic Cover proposal form