Collector Vehicle Certificate of Collectability Application

NSM Insurance Group is a leader in industry-specific insurance programs. Our Collector Car Division provides insurance solutions specially tailored for collectors. We proudly represent American Collectors Insurance, Condon Skelly, and Heacock Classic insurance brands.

Name

Mailing Street Address

Mailing City

Mailing State

Mailing Zip Code

Email Address

Year

Make

Model

VIN

Type of Vehicle

Estimated Value of Collector Vehicle

Please list any awards / designations your collector vehicle has earned.

Story

Why is your vehicle special / unique?

Please upload at least two (2) photos of vehicle exterior and two (2) photos of vehicle interior + other documentation to consider

Please ensure entire vehicle is visible in exterior photos

Drop your files here

Current Collector Car Insurer

If you selected "other" above, please list which company insures your collector vehicle

Policy Number

For insurance coverage verification

Allow use of information and images provided above for promotional purposes

Send promotional content such as the certificate

Send me a copy of my responses

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