QBE Endorsements attaching to the Commercial Vehicle and Fleet

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QBE Endorsements attaching to the Commercial Vehicle and Fleet Powered By Docstoc
					                                         MID - Change Notification

                  Insured                                        Policy Number                                      Date




Please note the following changes for MID purposes with effect from the date shown.

Policy Changes
                       Change of Title to                                               Change of Address to




Vehicle Changes (Additions/Deletions)
            Reg No                                   Make                          Model                             Date Added




            Reg No                                   Make                          Model                            Date Deleted




Signed..........................................................................   Date ........................................................

Please note the following:
     –      All changes must be notified to QBE within 5 working days of the effective date
     –      All vehicles requiring cover for a period in excess of 13 days must be notified to QBE. If in doubt
            please notify us of the vehicle and delete as required
     –      This notification is solely for MID purposes. All policy and vehicle changes must also be notified
            to your Broker for the purposes of confirming renewal, cover, issue of documentation and
            premium calculation
     –      This notification must be faxed to QBE on 01245 272696 or e-mailed to
            midnotification@uk.qbe.com

For Office Use Only – MID Updated

                                  Date                                                               Initial




                QBE Insurance (Europe) Limited is part of QBE European Operations, a division of the QBE Insurance Group.
                      QBE Insurance (Europe) Limited is authorised and regulated by the Financial Services Authority.
         Registered office Plantation Place, 30 Fenchurch Street, London EC3M 3BD. Registered in England and Wales No. 1761561.


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