Automobile Addition (Delete & Replacement)

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Insured's Information

Insured's Name

If part of a larger group, i.e. a Diocese, please name your sub-group, parish, etc.

Your Name

Your Telephone Number

Email address(required)

Your Fax Number

Vehicle Deletion Information

Year

Make & Model

VIN Number

Replacement Vehicle/Addition Information

Year

Make & Model

VIN Number

Cost New

Passenger Capacity

Are the plates being transferred from the old vehicle to the new one?

Yes

Registration Information

Delete & Replace Date

State in which the vehicle will be registered

Name as it appears on registration

Address as it appears on the Registration

Address 1

Address 2

P.O. Box/Apt

City

State

Zip Code

Effective date as it appears on registration

Principle garaging location (city & state)

Leasing/Loan Information

Leasing Company or Bank

If the vehicle is leased and/or is a loan on it, please provide the name and address of the leasing company or bank:

Additional Notes

Please include any information about after market equipment, such as whellchair lifts, plows, etc.

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Collaboration is critical in trying to deal with multiple insurance issues on a day to day basis. Waldorf Risk Solutions has made us more efficient, and their extensive know-how, their 24/7 availability and their willingness to always assist, has certainly made our job seamlessly productive.

Assistant to the Vice President of Finance
University
I can’t say enough about how responsive they are and how well everyone in the firm understand our unique needs as a not-for-profit service provider. I think what sets them apart from so many others is that they consistently demonstrate a genuine interest in our work and are constantly looking for ways to enhance their services to us. They have been a true partner with us.

Executive Director
Medical Facility
We value our longstanding relationship with Waldorf Risk Solutions. They are always helpful and prompt in answering questions.

Treasurer
Religious Order
Year after year we have relied on Waldorf Risk Solutions to secure the necessary insurance protection so that we can focus on providing vital human services to more than 60,000 of New York's most vulnerable people throughout New York City and Long Island.

Controller
Child Care
While our mission is noble our risks are challenging and that is why we have relied on Waldorf Risk Solutions as our risk management and insurance partner. They have consistently demonstrated the ability to respond to our risk management and insurance needs to allow us to continue with our mission of serving homeless children.

CFO
Child Care
As a start-up educational nonprofit Waldorf was able to secure an excellent program for us despite not having any meaningful underwriting data to offer potential insurers. Their efforts allowed us to progress our mission without worrying about meeting the insurance requirements of our partners.

Vice President
Charter School