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The State Steer Clear form serves as a crucial step for young drivers and their families, particularly those seeking the benefits of the Steer Clear Safe Driver Discount. Designed for policyholders under the age of 25, this form establishes the qualifications necessary to maintain a safe driving record. Among its key components, the form requires the names of all qualifying drivers and their associated policy number, making it simple to track eligibility. To qualify for the discount, drivers must demonstrate a three-year history free from accidents and moving violations. Furthermore, completion of designated educational and driving log requirements is essential for these young drivers. The form also outlines ongoing obligations, emphasizing that maintaining an accident-free status and fulfilling further educational criteria are vital to retain the discount. Additionally, an applicant's statement affirms the understanding of these requirements and the potential loss of discounts due to at-fault accidents or violations. By signing this form, qualifying drivers, and in certain cases, guardians, formally acknowledge the responsibility to uphold these safety standards, while agents assist in the process by documenting essential details with their signature and agent code.

State Steer Clear Example

Statement of qualification for Steer Clear® Safe Driver Discount

Policyholder's name

Qualifying driver name(s)

Qualifying driver name(s)

Policy number

Qualifying driver name(s)

Qualifying driver name(s)

STEER CLEAR SAFE DRIVER DISCOUNT INITIAL REQUIREMENTS

(1)All drivers under age 25 have maintained an accident-free and moving violation-free driving record in the past three years.*

(2)All drivers under age 25 have completed the educational and driving log requirements in good faith.

TO MAINTAIN STEER CLEAR SAFE DRIVER DISCOUNT

(1)All drivers under age 25 continue to maintain an accident-free and moving violation-free driving record.*

(2)All drivers under age 25 should complete Second Education material received before their 21st birthday.

Applicant's statement

I have met the initial requirements for the Steer Clear Safe Driver Discount and understand that I will lose the discount if I am involved in an at-fault accident or receive a moving violation.

Signature of qualifying driver

Signature of qualifying driver

Signature of parent/guardian/named insured (if qualifying driver is under age 18)

Agent name

Date (MM/DD/YYYY)

Date (MM/DD/YYYY)

Date (MM/DD/YYYY)

Agent code

*In some states, certain accidents and moving violations may not disqualify you.

1006989

151062.2 03-23-2018

Form Characteristics

Fact Name Fact Description
Policyholder Information The form requires the policyholder's name to ensure the right individual is receiving the discount.
Qualifying Driver(s) Each qualifying driver must be listed by name, as they are eligible for the discount based on specific criteria.
Policy Number The policy number is necessary to link the Steer Clear program to the relevant insurance policy.
Age Requirement Only drivers under the age of 25 are eligible to apply for the Steer Clear Safe Driver Discount.
Accident-Free Record Drivers under 25 must have an accident-free and moving violation-free record for the past three years.
Completion of Educational Requirements Educational and driving log requirements must be fulfilled in good faith by all qualifying drivers under 25.
Continued Maintenance To keep the discount, drivers under 25 must continue to maintain a clean driving record.
Second Education Material Drivers are required to complete second education materials before turning 21 years old.
Signature Requirements The form must be signed by qualifying drivers, and by a parent or guardian if the driver is under 18.

Guidelines on Utilizing State Steer Clear

Filling out the State Steer Clear form is essential for those looking to qualify for discounts as safe drivers. This form requires clear and accurate information about the policyholder and the qualifying drivers. Follow these steps carefully to ensure that your submission meets all necessary criteria.

  1. Provide the policyholder's name in the designated section.
  2. List all qualifying driver names in the spaces provided. Ensure that each name is spelled correctly.
  3. Enter the policy number accurately to connect the form to the correct account.
  4. Confirm that all drivers under age 25 meet the initial requirements laid out in the form, including maintaining an accident-free and moving violation-free record for the past three years.
  5. Check off that all required educational and driving log requirements have been completed in good faith.
  6. Affirm your eligibility by signing in the signature areas provided—include signatures for each qualifying driver.
  7. If any qualifying driver is under age 18, ensure that a parent, guardian, or named insured also signs on their behalf.
  8. Fill out the agent name and agent code as provided, along with the corresponding dates for each signature.

Be vigilant in checking for completeness before submitting your form. Any missing information can lead to delays or disqualification. Once submitted, the next steps will involve processing your application and confirming your eligibility for the discount.

What You Should Know About This Form

What is the Steer Clear form?

The Steer Clear form is a document that allows young drivers, specifically those under 25, to apply for the Steer Clear Safe Driver Discount. By completing this form, drivers confirm that they meet the qualifications necessary to receive a discount on their insurance premiums by maintaining a safe driving record.

What qualifications must a driver meet to qualify for the discount?

To qualify for the Steer Clear Safe Driver Discount, all drivers under age 25 must have maintained an accident-free and moving violation-free record for the past three years. Additionally, they must complete the educational and driving log requirements in good faith. Meeting these requirements is crucial for both initial approval and continued eligibility.

How long does the driver need to maintain a clean record?

Drivers must keep an accident-free and moving violation-free record for the entire time they wish to receive the discount. This means that as long as they remain under age 25, they need to avoid any at-fault accidents or moving violations. Failure to do so may result in losing the discount.

What happens if a qualifying driver gets into an accident or receives a ticket?

If any qualifying driver is involved in an at-fault accident or receives a moving violation, they will lose the Steer Clear Safe Driver Discount. It is essential for drivers to be aware of their driving behavior and the potential consequences of infractions.

Are there any educational requirements for maintaining the discount?

Yes, all drivers under age 25 must complete any Second Education materials provided to them before their 21st birthday. This educational component is an essential part of the process and supports safe driving practices.

How do I fill out the Steer Clear form?

To complete the Steer Clear form, you will need to provide several details, including the name of the policyholder, the names of qualifying drivers, and the policy number. Each qualifying driver must also sign the form, along with their parent or guardian if they are under age 18. Make sure all information is accurate and up to date before submitting.

Is there a specific format for the agent's signature and date on the form?

The form should include the agent's name and signature, along with the corresponding dates in the format of MM/DD/YYYY. This information helps to validate the form and the actions taken regarding the Steer Clear program.

Does the discount apply in all states?

No, the applicability of the Steer Clear Safe Driver Discount may vary by state. Some states may have specific rules regarding which accidents or moving violations might not disqualify a driver. It is advisable to check the local regulations or consult an agent for accurate information about your state’s policies.

Who can I contact for more information about the Steer Clear program?

If you have additional questions or need more information about the Steer Clear program, you can contact your insurance agent. They will be able to provide you with details tailored to your specific situation and clarify any points regarding eligibility and requirements.

Common mistakes

When filling out the State Steer Clear form, people often overlook important details, leading to potential mistakes that can affect their eligibility for the discount. One common error is failing to accurately state the policy number. Ensure that the number is entered correctly, as this is a key identifier for the application process.

Another frequent mistake involves how drivers qualify under age 25. Many applicants misunderstand or don’t read the initial requirements carefully. All drivers under 25 must have a clean driving record for the past three years. Forgetting to check for any past accidents or moving violations can lead to disqualification.

Completing the educational requirements is also critical. It's essential for qualifying drivers to complete the educational and driving log requirements in good faith. Not completing this step can eliminate any chance of receiving the discount. Exempted educational materials should be understood and fulfilled prior to turning 21 years old.

Some applicants mistakenly sign the form without reading the entire statement. The applicant’s statement reinforces the importance of understanding the consequences of not maintaining a clean record. This misunderstanding can result in lost discounts if a violation occurs after submission.

Additionally, a signature error can easily occur. Individuals often neglect to provide the required signatures for all qualifying drivers. If a qualifying driver is under 18, the form must also include a signature from a parent or guardian. Missing signatures can delay processing and affect eligibility.

Another area where mistakes frequently happen is with dates. It’s crucial to fill in the dates correctly for all signatures. Missing or incorrect dates can render a form invalid, causing unnecessary delays for your Steer Clear application.

Some applicants also confuse the meaning of "accident-free" and "moving violation-free." Misinterpretation of what constitutes a minor accident or moving violation can lead to misunderstandings. Always refer to the specific guidelines provided in the form and double-check your driving history.

Finally, some users neglect to review their completed forms before submitting them. Mistakes can slip through the cracks if the form isn’t thoroughly reviewed. Taking a moment to check for accuracy can save time and potential issues down the line. A careful final review is a practical and vital step in the process of applying for the Steer Clear Safe Driver Discount.

Documents used along the form

The State Steer Clear form is a vital document for young drivers seeking to qualify for a Safe Driver Discount. Alongside this form, several other documents are often required to establish eligibility, maintain compliance, and confirm the correct handling of related matters. The following is a list of common forms and documents associated with the Steer Clear program.

  • Driver's License: A valid state-issued driver's license is essential for establishing identity and driving authority.
  • Proof of Residency: Documents such as utility bills or bank statements may serve to verify the qualifying driver's current residential address.
  • Insurance Policy Documentation: This document shows proof of insurance coverage, which is necessary in conjunction with the Steer Clear form.
  • Educational Completion Certificates: Certificates confirming the completion of driver education programs help fulfill initial requirements for eligibility.
  • Driving Log: A record of driving activities is often needed to demonstrate that all educational requirements have been completed diligently.
  • Parental Consent Form: For drivers under 18, this form ensures that a parent or guardian provides consent for participation in the program.
  • Accident and Violation Report: Should an incident occur, this report documents the details of any accidents or moving violations, impacting eligibility.
  • Steer Clear Program Guidelines: This document outlines the rules and expectations of the program to help drivers understand their responsibilities.
  • Renewal Application Form: Drivers must sometimes submit this form to renew their discount eligibility upon reaching certain age milestones.
  • Driver Assessment Form: This form may be used to evaluate driving skills and safety awareness if additional requirements arise.

In summary, these documents are often integral to the successful management of the Steer Clear program. Adhering to the necessary requirements and submitting these materials ensures that young drivers can maintain their insurance discounts while confirming their commitment to safe driving practices.

Similar forms

The State Steer Clear form is designed to help young drivers maintain eligibility for a safe driver discount by ensuring they meet specific requirements. Several similar documents also address driver qualifications and safety standards. Below are seven such documents, along with their similarities to the State Steer Clear form:

  • Driver's License Application: This document requires applicants to provide personal information and details about their driving history, similar to how the State Steer Clear form collects information on the qualifying driver's name and policy number.
  • Certificate of Completion for Driver Education: Completion of driver education programs is often a prerequisite for obtaining certain discounts or insurance rates, just as educational requirements are specified in the State Steer Clear form.
  • Insurance Policy Documents: These documents describe coverage details, including safe driving incentives. Like the Steer Clear form, they outline specific criteria that must be met to maintain eligibility.
  • Moving Violation Report: Such reports document past infractions and driving history. The Steer Clear form similarly emphasizes the importance of maintaining an accident-free and violation-free record.
  • Accident Report Form: This form is submitted after a vehicle accident, detailing the nature of the incident. The Steer Clear form references consequences associated with at-fault accidents, which may impact discount eligibility.
  • Teen Driver Safety Contracts: These agreements typically outline expectations and responsibilities for young drivers and their guardians. They share the concept of accountability that is echoed in the Steer Clear form's requirements for qualifying drivers.
  • Parental Consent Forms for Minors: Such forms require signatures of guardians for young drivers, akin to the requirement for a parent or guardian's signature in the State Steer Clear form if the qualifying driver is under 18.

Dos and Don'ts

When completing the State Steer Clear form, it’s essential to navigate the process carefully. Below are five things you should and shouldn't do:

  • Do ensure that all drivers listed are under the age of 25.
  • Don't omit any previous accidents or moving violations from your records.
  • Do carefully read the educational and driving log requirements before filling out the form.
  • Don't sign the form without verifying that all information is accurate and complete.
  • Do have a parent or guardian sign if the qualifying driver is under 18 years of age.

By following these guidelines, you can help ensure that your application process for the Steer Clear Safe Driver Discount is successful.

Misconceptions

Understanding the State Steer Clear form is crucial for young drivers seeking the Steer Clear Safe Driver Discount. However, many misconceptions surround the requirements and implications of this program. Here are eight common misunderstandings:

  • All drivers under 25 automatically qualify. This is false. Only those who meet specific requirements, such as maintaining an accident-free and moving violation-free record for the past three years, qualify.
  • Accidents or violations before enrollment do not matter. Not true. If a driver under 25 has had accidents or moving violations in the last three years, they won't be eligible for the discount.
  • Once qualified, the discount is permanent. This is misleading. The discount must be maintained. If a driver gets into an at-fault accident or has a moving violation, they could lose the discount.
  • Completing educational requirements is optional. Incorrect. All qualifying drivers must complete the required educational materials to qualify and maintain the discount.
  • Parental consent is not needed for drivers under 18. This is a misconception. A parent or guardian must sign on behalf of drivers who are underage.
  • The discount applies only to the primary driver. This is inaccurate. Other qualifying drivers listed on the policy may also benefit from the discount if they meet the criteria.
  • All states have the same rules for qualifying drivers. This isn’t necessarily true. In some states, certain accidents or moving violations may not disqualify a driver from receiving the discount.
  • The form needs to be submitted only once. This is misleading. Drivers must continuously meet requirements to keep the discount, so periodic reviews may be needed.

By clearing up these misconceptions, drivers can better understand what it takes to secure and maintain the Steer Clear Safe Driver Discount.

Key takeaways

Filling out and using the State Steer Clear form is an important step for eligible drivers seeking to secure a discount on their auto insurance. Here are some key takeaways to keep in mind:

  • Policyholder Information: Ensure you fill in the policyholder's name and the relevant policy number accurately. This information is vital for processing your application.
  • Qualifying Drivers: List all qualifying driver names who are applying for the discount. Make sure their names match their identification documents.
  • Initial Requirements: Remember that all drivers under age 25 must have an accident-free and moving violation-free record for the past three years to qualify for the discount.
  • Completion of Requirements: All qualifying drivers must complete the educational and driving log requirements. It is essential to be honest when documenting this information.
  • Ongoing Responsibility: Once the discount is received, it is crucial for all drivers to maintain an accident-free and moving violation-free record. Any incidents could result in the loss of the discount.
  • Educational Material: Second Education materials should be completed before the qualifying driver's 21st birthday. This is a requirement to keep the discount in effect.
  • Signatures Required: Make sure the form is signed by the qualifying driver, and if they are under 18, a parent or guardian must also sign. This validation is necessary for processing.

By keeping these points in mind and ensuring that all information is completed accurately, you can enjoy the benefits of the Steer Clear Safe Driver Discount without unnecessary complications.