Blank Cic 2134 Template

What is the CIC 2134 form?

The CIC 2134 form is a document used to apply for a good student discount on auto insurance offered by Commerce Insurance. This form is filled out by the insured party, typically a student, and requires certification of their academic performance by a school official.

Who can use the CIC 2134 form?

The CIC 2134 form can be used by students who meet specific academic qualifications. This includes those enrolled in high school as well as home-schooled students. The student must demonstrate their academic standing through various metrics as outlined in the form.

What information is required on the CIC 2134 form?

This form requires basic information about the named insured, such as their mailing address, policy effective date, student’s name, and school information. Additionally, an academic certification section must be completed by a school official to verify that the student meets one of the specified academic achievement criteria.

What are the academic criteria for the good student discount?

To qualify for the good student discount, a student must meet one of the following criteria: they must be in the upper 20% of their class, maintain a "B" average or higher, have a GPA of 3.0 or above, or be included on a Dean's List or Honor Roll. This information must be certified by a school official.

What if the student is home-schooled?

Home-schooled students have two options for certification. They can either attach a third-party standardized form that verifies they meet the listed qualifications, or they can provide evidence that they scored in the upper 20% on a nationally recognized standardized exam. This documentation must be submitted with the CIC 2134 form.

How does the student submit the CIC 2134 form?

The completed CIC 2134 form should be submitted directly to Commerce Insurance, either by mail or in person. Ensure that all required signatures and documentation are included to avoid delays in processing the discount application.

Is there a deadline for submitting the CIC 2134 form?

While specific deadlines can vary, it is advisable to submit the form promptly after the student’s academic performance has been certified. Check your policy documents or consult with your insurance representative for any particular deadlines related to your policy.

1. Incomplete Information: Failing to provide all required fields can result in delays. Check if every section, including student and school information, is fully completed.

2. Incorrect Academic Certification: Ensure that the school official accurately certifies the student’s academic standing. Misrepresentation can lead to disqualification from discounts.

3. Improper Documentation for Home Schooled Students: Home schooled students must attach proper evidence. This could be either a standardized form or exam results. Missing this documentation can result in an automatic rejection.

4. Neglecting Signatures: Both the student and the school official’s signatures are essential. Omitting these can invalidate the form entirely.

Alongside the CIC 2134 form, several other documents may be necessary to fully support a good student discount application. Each of these forms contributes to ensuring that the information provided is accurate and meets the insurer's requirements.

• Proof of Enrollment: A document from the educational institution confirming the student's current enrollment status. This may include transcripts or an official letter that states the student's grade level and academic coursework.
• Academic Transcript: This is an official record from the school that details the student's grades and coursework. It serves as evidence of the student's academic performance over time.
• Standardized Test Scores: For homeschooled students or those submitting alternative academic qualifications, test scores from recognized assessments may be required. These scores provide a benchmark of the student's performance relative to peers.
• Verification Letter from a Third-Party Organization: If applicable, a letter from an accredited organization can help verify the student's academic standing or accomplishment. This adds credibility to the discount application.
• Additional Insurance Documentation: Depending on the insurer’s policies, other forms may be needed to confirm eligibility for discounts or to provide further information about the insured student’s details.

These documents collectively ensure that the application process is smooth and that the good student discount can be accurately determined based on clearly presented criteria.

The CIC 2134 form serves as a Good Student Discount Form for insurance purposes, similar to the Good Driver Discount application. The Good Driver Discount application is designed for policyholders who maintain a clean driving record. Just as the CIC 2134 requires certification of academic performance, the Good Driver Discount application requires documentation proving that the applicant has not been in accidents or received traffic violations for a specified period. Both forms incentivize responsible behavior—one in academics and the other in driving—ultimately aiming to foster lower risk within the greater community.

Another document akin to the CIC 2134 is the Student Loan Verification Form. This form allows a student to verify their enrollment status for financial aid purposes. Like the CIC 2134, which requests confirmation of a student’s academic standing, the Student Loan Verification Form requires an institution’s official acknowledgment of the student’s current enrollment and academic progress. Both documents underscore the importance of educational performance, albeit through different avenues—one through insurance savings and the other through financial assistance.

A similar document is the Transcript Request Form. This form is used to obtain an official academic transcript from an educational institution. The Transcript Request Form requires verification of course completion and grades, much like how the CIC 2134 mandates evidence of academic achievement to qualify for discounts. In both instances, the underlying goal is to validate the educational credentials of individuals, whether for personal finance reasons or for obtaining discounts on insurance premiums.

The Verification of Enrollment Form finds its place among documents similar to the CIC 2134 as well. This form confirms a student’s enrollment status with a school, much like how the CIC 2134 seeks verification of academic performance. Both forms require official school input to establish the legitimacy and current educational status of the student. While the CIC 2134 focuses more on achievements, the Verification of Enrollment Form is centered on confirming active student status for various benefits.

Additionally, the Federal Pell Grant Application demonstrates similarities to the CIC 2134 form in that both documents assess academic achievement for financial advantages. The Pell Grant Application requires students to provide information about their enrollment status and academic capabilities to qualify for financial assistance. Like the CIC 2134, the Pell Grant meticulously evaluates scholastic performance to determine eligibility, reinforcing the connection between education and potential financial benefit.

Lastly, the College Application Form deserves mention as it bears similarities to the CIC 2134 form in its requirement for academic information and evaluation. College applications often necessitate applicants to report their grades and status in relation to their peers. Just as the CIC 2134 confirms academic qualifications to secure discounts, college applications rely on such academic data to determine admission eligibility. Both documents thus emphasize the critical role of academic performance in obtaining various benefits, whether they be financial savings in insurance or acceptance into a desired institution.

When filling out the CIC 2134 form, there are several important dos and don'ts to keep in mind. Proper attention to detail can help ensure a smooth process. Here’s what to consider:

• Do provide accurate information in all fields to avoid delays.
• Do indicate the student's correct class status clearly (Freshman, Sophomore, Junior, Senior).
• Do have the academic certification completed by a school official for validation.
• Do include the school’s name and address where applicable.
• Do attach relevant documentation if the student is homeschooled, such as a standardized certification.
• Don't leave any fields blank; incomplete forms can be rejected.
• Don't forget to sign and date the form if you are the official or student submitting it.
• Don't use abbreviations or shorthand; clarity is crucial.
• Don't submit the form without reviewing it for any errors.
• Don't forget to write legibly; unclear handwriting can lead to mistakes in processing.

Pay close attention to these points. Following these guidelines will help you complete the form correctly and efficiently.

The CIC 2134 form, intended for claiming a good student discount on insurance policies, is often misunderstood. Let's clarify some common misconceptions to ensure that students and their families can navigate the process with confidence.

• Misconception 1: The form is only for high school students.

Many believe this form is limited to high schoolers. However, it is applicable to college and university students as well, provided they meet academic qualifications.

• Misconception 2: I must maintain a perfect GPA.

While achieving high grades is essential, maintaining a “B” average or a 3.0 GPA is sufficient to qualify for the discount. Absolute perfection is not required.

• Misconception 3: Only traditional students can apply.

Home-schooled students can also apply. They simply need to provide the appropriate certification from a recognized authority or standardized testing results.

• Misconception 4: The school must be a private institution.

This is untrue. Students from public, charter, and home-schooling programs can submit the CIC 2134 form, provided they fulfill the necessary academic requirements.

• Misconception 5: Submitting the form guarantees a discount.

While qualifying academics often lead to a discount, it is ultimately at the insurer’s discretion to offer a good student discount. The form streamlines the process but does not guarantee outcomes.

• Misconception 6: I can submit any type of document as proof.

Not every document will suffice. Only the specific forms of academic certification mentioned in the CIC 2134 can validate eligibility for the discount.

• Misconception 7: I only need to fill out the form once.

The form may need to be submitted annually or as requested by your insurance provider. Check with them to ensure compliance with their requirements.

• Misconception 8: My insurance company does not offer discounts.

Even if discounts are not prominently advertised, it’s advisable to inquire. Many companies offer this discount, but terms may vary.

• Misconception 9: The student's personal information is optional.

Incorrectly, some think the details on the student are not critical. Accurate student information is necessary for processing the form effectively.

• Misconception 10: The form is too complicated to fill out.

Completing the CIC 2134 form is often more straightforward than it seems. With clear instructions and a few academic details, it can be managed successfully.

Here are some key takeaways about filling out and using the Cic 2134 form:

• Accurate Information: Ensure all fields are completed accurately. Provide the correct student name, school name, and relevant dates.
• Certification Requirement: A school official must complete the academic certification section. This confirms that the student meets the good student discount criteria.
• Eligibility Criteria: The form outlines specific academic achievements that qualify a student for the discount, such as being in the top 20% of the class or maintaining a "B" average.
• For Home Schooled Students: Special provisions exist. Home-schooled students must attach either a third-party certification or evidence of scoring in the upper 20% on a standardized exam.
• Timeliness Matters: Submit the form in a timely manner to ensure the discount is applied before the policy effective date. Delays may result in missing out on potential savings.