RV Supplemental Questionnaire

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Recreational Vehicle Supplement

Enter the following information for an RV Supplement to send to BJ Insurance

Recreational Vehicle Supplement

TYPE OF VEHICLES
Private Passenger Types & Light Trucks %:
Recrecational Vehicles %
Campers %
Travel Trailers %
Other (Specify) %
TYPE OF REPAIR
Accessory (uninstalled) Sales Receips: %
Alignment Steering or Front End Suspension %
Body Work %
Brakes %
Engine (Major) %
Engine (Minor) %
Hydraulic Work %
LPG Repair %
LPG Delivery %
LPG Dispensing %
Manufacturing/Fabricating (Specify) %
Oil, Lube, Tune-Up %
Painting (in UL approved spray booth) %
Tires (New) %
Tires (Used) %
Trailer Hitch Installation or Repair %
Trailer Repair %
Welding %
Other (Specify) %
WORK LOCATIONS
At Shop %
Away from Premises-Customer's Location %
Away From Premises-Roadside %
UNDERWRITING INFORMATION
1. Any rentals of RVs? Yes No
if "Yes", is coverage in place elsewhere? % Yes No
2. Are RV's taken to trade showes, fairs or other special events? Yes NO
If "Yes", please explain: Yes No
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End of RV Supplement