Albertan Automobile Insurance Inspection Report
This file is an inspection report form for automobiles in Alberta. It is used for insurance underwriting purposes and needs to be completed by a Certified Automotive Technician if the vehicle is 12 years or older. The form includes sections for various vehicle components, certification, and comments from the technician.
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How do I fill this out?
This section provides step-by-step guidance on how to fill out the Albertan Automobile Insurance Inspection Report. Follow the instructions carefully to ensure all required information is accurately provided. Detailed instructions for each section will be provided below.

How to fill out the Albertan Automobile Insurance Inspection Report?
1
Fill out the vehicle owner's name, insurance company, insurance broker, and policy number.
2
Enter the vehicle year, make, model, and VIN.
3
Certified Automotive Technician needs to inspect various vehicle components and mark them as roadworthy or reject.
4
Provide additional comments and information regarding any alterations for speed or performance.
5
Certified Automotive Technician must sign and date the form, including their certificate number and repair shop details.
Who needs the Albertan Automobile Insurance Inspection Report?
1
Vehicle owners in Alberta with automobiles 12 years or older need this form for insurance purposes.
2
Insurance companies require this form to assess the condition of older vehicles.
3
Certified Automotive Technicians need to complete and sign this form after inspecting the vehicle.
4
Insurance brokers may need this form to facilitate policy underwriting for their clients.
5
Automobile repair shops use this form to document the condition of vehicles they inspect.
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What are the instructions for submitting this form?
To submit the Albertan Automobile Insurance Inspection Report, ensure all sections are completed by a Certified Automotive Technician. You can mail the completed form to your insurance company, or submit it online if your insurer provides an online submission portal. For further assistance, contact your insurance company or broker directly. It is advised to keep a copy of the form for your records.
What are the important dates for this form in 2024 and 2025?
No specific dates are provided for this form in 2024 and 2025, but it is required whenever an automobile 12 years or older needs an inspection for insurance purposes.

What is the purpose of this form?
The Albertan Automobile Insurance Inspection Report is designed to assess the condition of older vehicles for insurance underwriting purposes. This form ensures that the vehicle is roadworthy and meets the necessary standards for coverage. It also provides a detailed record of the inspection performed by a Certified Automotive Technician.

Tell me about this form and its components and fields line-by-line.

- 1. Vehicle Owner's Name: The name of the vehicle's owner.
- 2. Insurance Company: The name of the insurance company providing coverage.
- 3. Insurance Broker: The insurance broker handling the policy.
- 4. Policy Number: The insurance policy number.
- 5. Vehicle Year: The year of manufacture of the vehicle.
- 6. Make: The make of the vehicle.
- 7. Model: The model of the vehicle.
- 8. VIN: The Vehicle Identification Number.
- 9. Certified Automotive Technician Section: This section includes various vehicle components that the technician needs to inspect and mark as roadworthy or reject.
- 10. Comments: Additional comments regarding the vehicle's condition.
- 11. Certified Automotive Technician Statement: A statement certifying the inspection, including the technician's name, repair shop, and signature.
What happens if I fail to submit this form?
Failing to submit this form can result in insurance coverage issues for the vehicle. The vehicle may not be deemed roadworthy without a completed inspection report.
- Insurance Denial: The insurance company may deny coverage without a completed inspection report.
- Legal Compliance: Failure to submit may result in non-compliance with Alberta's insurance regulations.
- Vehicle Safety: An uninspected vehicle may pose safety risks on the road.
- Policy Delays: Insurance policy processing may be delayed without this form.
How do I know when to use this form?

- 1. Vehicle Age: The vehicle is 12 years or older.
- 2. Insurance Requirement: The insurance company requires an inspection report.
- 3. Policy Underwriting: The form is needed for underwriting a new or renewed policy.
- 4. Vehicle Sale: The vehicle is being sold and requires a condition report.
- 5. Safety Inspection: A safety inspection is mandated by law or insurance.
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