Download an application, fill it in, and send it back to us by email or fax. Prefer we send it? Enter your name and email under either application.
At a glance
The Forms page has four PDF downloads: the Bond Application, the New Business Application, the Renewal Application and the Dealer Questionnaire. Fill one in and send it back to team@fairbanksins.net or fax 208-567-9572; the bond and new business applications can also be emailed to you.
Updated
Bond Application
PDF, 3 pages, fillable
New Business Application
PDF, 3 pages, fillable
Renewal Application
PDF, 1 page, fillable
Dealer Questionnaire
PDF, 1 page, print and fill
Return completed forms
team@fairbanksins.net or fax 208-567-9572
Help with a form
208-477-1610 or team@fairbanksins.net
Bond App
Bond Application
Travelers Motor Vehicle Dealer Bond Application
For dealers and repair shops that need a motor vehicle dealer bond. Every owner or stockholder is listed, and the indemnity agreement is signed, witnessed and dated.
For dealerships and shops that are new to Fairbanks Insurance: business details, locations and security, an employee driver list, coverage limits, service work, company vehicles and property.
For current clients before renewal: changes in the last year, addresses, wholesale inventory, flooring companies, employee list, and annual gross sales.
A one-page sheet to start a conversation: dealership, contact, current insurance company and expiration date, employees, and any questions or concerns.
The fillable PDFs can be completed on a computer before printing or signing. The Bond Application asks for Social Security numbers and signatures; if you would rather not email it, fax it or call us.