Vehicle and Insurance Information


All drivers of vehicles transporting Boy Scouts to or from a Scouting event must have a valid driver’s license and automobile insurance. We are asking you to provide us with this information for our records. This is necessary for everyone and anyone who will drive on outings. According to proper Council procedure, we must have this information on file, and we need to let them know who on the list is driving for each outing five business days prior to that outing. We can no longer fill out forms the day we leave for the event. Also, please keep us updated on any changes to the information. Please return this form to __________(in process of searching for a volunteer). Thanks.


 

General Insurance Information:

All Vehicles MUST be covered by a public liability and property damage liability insurance policy. The amount of coverage must meet or exceed the insurance requirement of the state in which the vehicle is licensed. However, it is recommended that coverage limits are at least $50,000/$100,000/$50,000 or $100,000 combined single limit. Any vehicle carrying ten or more passengers is required to have limits of $100,000/$300,000/$100,000 or $500,000 combined single limit. In case of rented vehicles the requirement of coverage limits can be met by combining the limits of personal coverage carried by the driver with coverage carried by the owner of the rented vehicle.


 

Name of Driver 1: ____________________________ Drivers License #:_____________

Name of Driver 2: ____________________________ Drivers License #:_____________


 

Vehicle 1

Make, Model and year of Vehicle:_________________________________________________

Total number of seatbelts:_________ Will everyone wear a seatbelt? Yes No

License Plate#:_________________________ Main Driver: Driver1 Driver2 Both

Do you have insurance on the vehicle listed above? Yes No

Do you meet or exceed the California insurance requirement? Meets Exceeds

Amount of coverage:_________________________

What is the name of your insurance company?_________________________________

Vehicle 2

Make, Model and year of Vehicle:_________________________________________________

Total number of seatbelts:_________ Will everyone wear a seatbelt? Yes No

License Plate#:_________________________ Main Driver: Driver1 Driver2 Both

Do you have insurance on the vehicle listed above? Yes No

Do you meet or exceed the California insurance requirement? Meets Exceeds

Amount of coverage:_________________________

What is the name of your insurance company?_________________________________


 

Driver 1 Signature:________________________________Date:_________________

Driver 2 Signature:________________________________Date:_________________