Agreement to Provide Accidental Physical Damage Insurance - LONG

Form # OADA-ATPI-LONG

• 2 Part Form
• Size: 8 1/2" x 11"
• Sold in Packs of 100

Verification of customer vehicle insurance is generally required of the dealership by the lender.  Each of our insurance verification forms provide necessary information.  Check with your lenders as to which OADA form you should use.