Auto Self Service | OTIP RAEO

Looking to update your home or auto policy? Our easy-to-use self-service tools allow you to service your home or auto policy your way, wherever and whenever it is convenient for you.

Policy Holder Information

Policy Number

* Name of Policy Holder(s)

* Phone

* Type of Phone

* Email

* Effective Date

* Street

* City

* Postal Code

Affiliate

Driver Information

* Drivers Name

* Relationship to Named Insured

* Date of Birth

* Drivers License #

* Marital Status

* Gender

* What type of license does this driver currently hold?

Driver Information Continued

* Does the driver have any accidents, tickets or claims while owning, using or operating a vehicle?
Yes No

* Does the driver have any license cancellations/suspensions in the past six years?
Yes No

* Is this driver currently insured as a primary or occasional driver on an auto insurance policy in the US or Canada?
Yes No

* Will this driver be primary or occasional?

Which vehicle will they drive?

* Vehicle Year

* Vehicle Make

* Vehicle Model

* Where is the vehicle parked at night?

If there is any additional information you would like to add, please describe below.

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Self-Service Form: Add a Driver

Policy Holder Information

Driver Information

Driver Information Continued