Insurance Confirmation Form (ICF) Upload

Step 1

Please download and complete the attached form. Submit it using step 2

Click here to download

Step 2

If motor vehicles, please attach the ICF completed above and not the insurance sticker

Asset Type

Customer Type

Name

First Last

Email(Required)

Phone(Required)

Underwriter / Insurance Company(Required)

Add another Borrower (For joint applicants)

No

Yes

Name

First Last

Name

Business / Registered Entity Name

Motor Vehicle Registration Number(Required)

Capture vehicle registration number with no spaces between the characters for each vehicle E.g. KCI101X

Completed ICF(Required)

Max. file size: 5 MB.

Add another Motor Vehicle / Equipment ICF

No

Yes

Motor Vehicle Registration Number

Capture vehicle registration number with no spaces between the characters for each vehicle E.g. KCI101X

Completed ICF

Max. file size: 5 MB.

Motor Vehicle Registration Number

Capture vehicle registration number with no spaces between the characters for each vehicle E.g. KCI101X

Completed ICF

Max. file size: 5 MB.

Motor Vehicle Registration Number

Capture vehicle registration number with no spaces between the characters for each vehicle E.g. KCI101X

Completed ICF

Max. file size: 5 MB.

Motor Vehicle Registration Number

Capture vehicle registration number with no spaces between the characters for each vehicle E.g. KCI101X

Completed ICF

Max. file size: 5 MB.

Motor Vehicle Registration Number

Capture vehicle registration number with no spaces between the characters for each vehicle E.g. KCI101X

Completed ICF

Max. file size: 5 MB.

Land Reference Number(Required)

File(Required)

Max. file size: 512 MB.

Add another Property / Land ICF

No

Yes

Land Reference Number

File

Max. file size: 512 MB.

Land Reference Number

File

Max. file size: 512 MB.

Land Reference Number

File

Max. file size: 512 MB.

Land Reference Number

File

Max. file size: 512 MB.

Land Reference Number

File

Max. file size: 512 MB.