Motorcycle Form This form will allow you to add a motorcycle to your auto insurance policy. 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.Name First Last Are You Getting Rid of Any Other Vehicles, or Just Adding A Motorcycle?Getting rid of other vehiclesAdding MotorcycleBothWhat Coverage Do You WantLiability-OnlyJust the Bike OnlyDo you have a motorcycle endorsement/classification on their driver's licenseYesNoHow Many Years of Riding Experience Do You HaveYearMakeModelWhen did you get the motorcycle Date Format: MM slash DD slash YYYY VINWhat did you pay for itHow many cc's does it haveDo you use it offroadYesNoIs it street legalYesNoDoes the motorcycle have anti-lock brakesYesNoHow many miles do you ride every yearDoes the motorcycle have anti-lock brakesYesNoIs there a modified frame, nitrous oxide or turbo/superchargerYesNoIs there a LoJack Device installed on the vehicleYesNoHave you completed an approved safety courseYesNoHow often do you ride during the riding season (times/week)
