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 MM slash DD slash YYYY What is the name of the policy owner? First and Last name. Your best email address Your best phone number Are you the policy owner? Yes No If not, who is filling up this form? First and Last name. Collector/Antique Car(s)YearMakeModelVIN 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 inside Stored outside Is it in a locked garage? Yes No Is the garage heated? Yes No What is the value of the car?How did you determine the value of the car? Do you take it to car shows? Yes No Did you do any upgrades or put any money into the car? Yes No What were the upgrades?NameThis field is for validation purposes and should be left unchanged.
