vehicle-use-change - Roughley Insurance Brokers

We recognize that driving habits have changed for many customers since the beginning of the pandemic. We’re here to help.

Vehicle Use Change Form

If the number of kilometres you drive has decreased, we may be able to reduce your auto insurance premium. To see if you qualify, please fill out the form below.

This form applies to both personal and commercial auto insurance.

Full Name

Phone Number

Email Address

Vehicle Year

Vehicle Make

Vehicle Model

Policy Number

Is this for personal or business use? Is this for personal or business use? Personal Business

How are you using your car? How are you using your car? I only use my car for essential travel and kilometres have decreased I have stopped using, safely parked and stored my car I use my car to delivery food/goods I still use my car regularly

Anything else we should know?

New Field New Field I confirm that the information above is true, complete and accurate.

New Field New Field I understand that coverage will not be changed by submitting this form. A Licensed broker will contact you via phone to confirm change of coverage.

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