Texas REALTORS policy requires that anyone who drives a personal automobile for business purposes, even incidentally for certain meetings, maintain minimum coverage levels (see below) and to provide proof of coverage prior to business use. This may be submitted once and kept on file until renewal or change in coverage.

Please use this form to upload an image of the Declarations page of your auto insurance policy to indicate current coverage with minimum applicable limits. If you have any questions or concerns, please contact Susan Chichester. 

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* 1. First Name

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* 2. Last Name

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* 3. Please affirm that your current automobile policy meets the minimum liability coverage amounts as follows:

- Combined single limit of $300,000; or
- Bodily Injury: $100,000 each person / $300,000 each accident;
and
- Property Damage $100,000 each accident.

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* 4. Please indicate the expiration date of your current auto insurance policy.

Date

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* 5. Please upload an image of your insurance policy's Declarations Page. (16MB file size limit)

PDF, PNG, JPG, JPEG file types only.
Choose File

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