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HomeCustom Wheel Program › Application

Custom Wheel Plan™

 

Coverage | Premiums | Application | Privacy Consent | Required Documents

Required Documents

For Modified, Street Rod & Custom Automobile Insurance™

Please refer to the following list of required documents.

  1. A completed Application form (Custom Wheel Application Form (pdf) »)
  2. An Appraisal (including color photos).
  3. A completed Privacy Consent Form (click here to download form »)
  4. A copy of the Pink Card from your daily driver.
  5. A three year Driver Abstract for all operators.
  6. Proof of ownership (Bill of Sale or Registration).
  7. A cheque for the appropriate amount (payable to Aviva/Elite Insurance).

Upon receipt of the above we will confirm that your coverage is in place.

 

 

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