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What is the name of the insurance company for "your (1st, 2nd, 3rd)" vehicle policy? [enter text] ___________________
* Enter name of insurance company, not the insurance agent.
Briefly describe the vehicles covered by your vehicle insurance policy? [enter text] ______________
Are the policy premiums paid -
Are any premiums paid through payroll deductions?
Since the first of the reference month, what was your or your CU total expense for this insurance policy? [enter value] ______________
* Enter the actual amount the CU paid. Do not include any expenses paid for the CU by others
How much was paid this month? [enter value] ______________
* Enter 'C' for a combined expense
Which property (ies) does this policy cover? [enter text] ______________
Do you or any members of your CU have any or make payments for any other "vehicle insurance" policy?
End of Section 13B Vehicle Insurance
Go to Section 13 Part B - Other Types of Insurance - FOR NEW CONSUMER UNITS ONLY »
Go to Section 14 Part A.1 - Hospitalization and Health Insurance »
Go to CAPI Home Page »
Last Modified Date: September 4, 2008