I, on behalf of myself and all other policyholders and drivers listed, authorize Cheep Insurance and/or its insurance company suppliers to collect, use and disclose information or reports relevant to my personal insurance rating, policy placement and payment thereof. I understand that as an insurance broker, Cheep Insurance is gathering this consent on behalf of multiple insurance companies for the purpose of providing insurance quotations, completing applications, issuing new policies or subsequent renewals or changes and preventing fraud. I authorize collection, use and disclosure of relevant personal insurance reports including policy and claims history of up to 25 years, investigative, rating and risk information as permitted by law and in accordance with privacy policies.

I authorize Cheep Insurance and/or its insurance company suppliers, on behalf of myself and other policyholders listed, to collect, use and disclose information or reports relevant to my personal insurance rating, policy placement and payment thereof. I understand that as an insurance broker, Cheep Insurance is gathering this consent on behalf of multiple insurance companies for the purpose of providing insurance quotations, completing applications, issuing new policies or subsequent renewals or changes and preventing fraud. I authorize collection, use and disclosure of relevant personal insurance reports including policy and claims history of up to 25 years, investigative, rating and risk information and personal credit information, as permitted by law and in accordance with privacy policies.