Change use of Vehicle is a type of Policy Change form from Keyes Insurance, where you can change the use of a vehicle in your existing insurance policy. Change use of Vehicle Name of 1st insured:* Name of 2nd insured: How can we reach you?* Phone Email Phone*Email* Vehicle InformationVehicle make* Year* Model* Use of vehicle*PleasureCommutingBusinessFarmingOtherDetails if use is otherIs this vehicle used out of the province more than 30 days/year?* Yes No Is this vehicle used for commercial or delivery purposes?* Yes No Kilometres traveled per year:*0-50005001-1000010001-1500015001-2000020001-3000030001+How many kilometers one-way for daily commute?*NA0-56-89-1617-2425+If this vehicle is used for work-related travel, how many kilometers/year (not including travel to and from the workplace)?Effective DateWhen will this change be effective?* MM slash DD slash YYYY About Your InsuranceCompany* Policy #* Name of your broker Will this change in use result in changes in use of any other vehicles owned? (If so, please indicate what will change:)*
