Collector Car Policy This form will allow you to create a collector policy, or add a collector car to your policy if you already have one. When you fill out this form, the information will be sent to an agent at Ullrich Insurance. We will let you know when we have an update. Keep in mind that no changes of your insurance policy are completed until you have received confirmation from us that it is completed. This is very important for you to know. Call us anytime if you have any questions about this.Today's date Date Format: MM slash DD slash YYYY What is the name of the policy owner? First Last Your best email addressYour best phone numberAre you the policy owner?YesNoIf not, who is filling up this form? First Last How many miles do you put on your collector/antique car (cars) annually?How often do you drive it?Do you store it in inside or outside?Stored insideStored outsideIs it in a locked garage?YesNoIs the garage heated?YesNoWhat is the value of the car?How did you determine the value of the car?Do you take it to car shows?YesNoDid you do any upgrades or put any money into the car?YesNoWhat were the upgrades?
