Forms

Please Note: No coverage is in force until approved by American Collectors Insurance.

Please select your state from the drop-down box below. Download the appropriate application (i.e., antique, modified, antique motorcycle or collectibles) and any supplemental forms available for your state. To expedite the application process, please make sure to fill out the application and any supplemental forms entirely, not leaving any blanks. If you prefer, you may apply over the phone by calling 800-360-2277.

Please include the following when mailing an application:

• Completed application & any supplemental state forms.
• Check or money order for the total premium. Minimum premium is $30 in most states.
• Recent clear, color photo of each vehicle. If vehicle value exceeds $25,000, or if the vehicle is modified, please send four photos (two exterior; one interior and one engine).
• If there are any drivers in the household with less than ten (10) years' driving experience, please complete the Youthful Driver Exclusion Form.

Note: Do not submit: Off-road vehicles, jeeps (unless they are 100% military) or vehicles used for racing or timed speed events. Please also do not submit requests for "liability only." Liability is not available as a single coverage.