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Driver Exclusion Form
"I need a Driver Exclusion Form for our logistics company's fleet of 5 delivery vehicles in Kuala Lumpur, effective from January 2025, to exclude three newly terminated drivers from our commercial vehicle insurance policy."
1. Parties: Identification of the insurance company, policyholder, and excluded driver(s)
2. Background: Brief context explaining the purpose of the exclusion form and its relationship to the main insurance policy
3. Definitions: Key terms used in the document including 'Excluded Driver', 'Policy', 'Vehicle', and 'Coverage Period'
4. Vehicle Information: Details of the insured vehicle(s) including make, model, registration number, and chassis number
5. Exclusion Declaration: Clear statement of the driver exclusion and its implications for insurance coverage
6. Acknowledgment of Risks: Statement acknowledging that operation of the vehicle by excluded driver voids coverage
7. Duration: Period for which the exclusion remains in effect
8. Signatures: Execution section for all parties to sign and date the form
1. Commercial Use Declaration: Required when the vehicle is used for business purposes, specifying commercial usage restrictions
2. Additional Insurance Requirements: Section specifying any supplementary insurance requirements or modifications
3. Reinstatement Conditions: Terms under which an excluded driver may be reinstated as a covered driver
4. Legal Guardian Consent: Required when the excluded driver is a minor or under legal guardianship
1. Schedule A - Vehicle List: List of all vehicles covered by the exclusion when multiple vehicles are involved
2. Schedule B - Excluded Drivers: Detailed information about multiple excluded drivers if applicable
3. Appendix 1 - Driver Records: Driving history or records justifying the exclusion (if relevant)
4. Appendix 2 - Insurance Policy Reference: Copy or reference to the relevant sections of the main insurance policy affected by this exclusion
Authors
Insurance
Transportation
Logistics
Fleet Management
Corporate Services
Legal Services
Automotive
Ride-sharing Services
Delivery Services
Private Transportation
Legal
Insurance
Risk Management
Operations
Compliance
Fleet Operations
Administrative Services
Claims Processing
Policy Management
Corporate Services
Insurance Underwriter
Risk Manager
Fleet Manager
Legal Counsel
Insurance Agent
Compliance Officer
Transportation Manager
Operations Manager
Insurance Claims Handler
Policy Administrator
Vehicle Operations Supervisor
Corporate Services Manager
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