Recovery Insurance Services - Repossession Agents Insurance Packages

The Hanover Insurance Group provides a $50,000 Theft From Employer and $1,000,000 Theft of Lender Property bond. Please complete this application and submit.

0-5 drivers - estimated premium $900 annually
6-10 drivers - estimated premium $1,050 annually
11-25 drivers - estimated premium $1,500 annually
25+ drivers - contact us for pricing

Repossessors Employee Theft Crime Application
Business Name
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Address
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Email Address:
City:
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State:
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Zip Code:
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Effective Date Requested:
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Annual Revenue: $
Total Assets: $
Net Income: $
Net Worth: $

Are bank accounts reconciled by someone not authorized to deposit or withdraw from? Yes or No
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If "No" explain your internal controls to prevent against concealment of improper deposits or withdrawals:
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Is countersignature of checks required? Yes or No
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If "No" explain the procedures you use to prevent unauthorized issuance of checks:
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Does your firm handle proceeds of automobile auctions? Yes or No
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If "Yes" how quickly are the net proceeds turned over to your credit grantor customer?
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Provide detailed explanation of all losses discovered whether reimbursed or not for the past three years. If there are no losses mark NONE.
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Total number of employees
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Of this total number doing client repossessions
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Number of independent contractors included in total
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Is a personnel file established and maintained for all new and existing employees including independent contractors which includes a photograph fingerprint card documented background investigation previous employer reference check and credit check? If "No" explain what information is maintained:
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Date:
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By:
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Title:
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Security code:
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Do not enter anything in this field:

* indicates a required field