Driver Exclusion Form

Driver Exclusion Form Template for Canada

Create a bespoke document in minutes, or upload and review your own.

4.6 / 5

4.8 / 5

Let's create your Driver Exclusion Form

1. Select your governing law and document type:

2. Enter your key requirements:

3. Create your document to edit, review or download

Get your first 2 documents free

Your data doesn't train Genie's AI

You keep IP ownership of your information

Key Requirements PROMPT example:

"I need a Driver Exclusion Form for our Canadian fleet insurance policy that excludes a newly hired employee with multiple DUI convictions, ensuring compliance with Ontario provincial regulations and including specific language about potential reinstatement after January 2025."

Document background

The Driver Exclusion Form is a critical risk management tool in Canadian auto insurance practices, used when policyholders need to explicitly exclude certain drivers from their insurance coverage. This might occur when a household member has a poor driving record, multiple accidents, or serious traffic violations that would otherwise significantly increase the policy premium. The form creates a legally binding modification to the insurance policy, documented through a formal endorsement. It must comply with provincial insurance regulations and typically requires careful review and signatures from all named insureds. The document includes specific details about the excluded driver, acknowledgment of coverage implications, and may result in premium adjustments. Insurance companies and brokers must ensure the form meets all regulatory requirements while clearly communicating the consequences of the exclusion to all parties involved.

Suggested Sections

1. Policy Information: Details of the insurance policy including policy number, effective dates, and insurance company information

2. Named Insured Information: Full legal name and contact information of the policyholder(s)

3. Excluded Driver Information: Full legal name, license number, and relevant details of the driver being excluded from coverage

4. Exclusion Declaration: Clear statement of the exclusion terms and acknowledgment that the named insurance company will not provide coverage when the excluded driver operates any vehicle listed in the policy

5. Acknowledgment of Consequences: Statement confirming understanding that operating a vehicle by the excluded driver may result in no coverage and personal liability

6. Signatures: Designated spaces for signatures of all named insureds and dates

7. Witness/Notary: Space for witness or notary verification where required by jurisdiction

Optional Sections

1. Vehicle Information: List of all vehicles covered under the policy - included when the exclusion applies to specific vehicles only

2. Reason for Exclusion: Statement explaining why the driver is being excluded - included when required by specific jurisdictions or insurance companies

3. Duration of Exclusion: Specific timeframe for the exclusion if temporary - included when the exclusion is not permanent

4. Reinstatement Terms: Conditions under which the excluded driver may be reinstated - included when applicable

5. Provincial Specific Declarations: Additional statements required by specific provinces - included based on jurisdiction

Suggested Schedules

1. Schedule A - Driver Record: Copy of the excluded driver's driving record or abstract when required

2. Schedule B - Policy Endorsement: Official insurance policy endorsement form showing the exclusion

3. Appendix 1 - Premium Adjustment: Documentation showing premium changes resulting from the driver exclusion

Authors

Alex Denne

Head of Growth (Open Source Law) @ tiktok��˰� | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Insurance

Transportation

Fleet Management

Automotive

Legal Services

Risk Management

Financial Services

Relevant Teams

Legal

Risk Management

Compliance

Insurance Operations

Claims Processing

Policy Administration

Customer Service

Document Management

Underwriting

Relevant Roles

Insurance Broker

Insurance Agent

Risk Manager

Fleet Manager

Legal Counsel

Compliance Officer

Insurance Underwriter

Claims Adjuster

Insurance Policy Administrator

Document Specialist

Contract Administrator

Find the exact document you need

Motor Insurance Claim Form

A standardized Canadian motor insurance claim form for reporting vehicle-related incidents and processing insurance claims in compliance with federal and provincial regulations.

tiktok���˰�

How tiktok���˰� reduced drafting time by 75% for a legal firm

Let's create your Driver Exclusion Form

Authors

Alex Denne

Find the exact document you need

Motor Insurance Claim Form

Super Bill For (Insurance)

ATM Card Insurance Claim Form

Irs Health Insurance Form

Insurance Waiver Form

Health Insurance Waiver

Accident Claim Form

Medical Claim Form

Insurance Tax Form

Motor Claim Form

Insurance Verification Form

Workers Comp Exclusion Form

Gap Insurance Cancellation Form

Workers Compensation Waiver Form

Workers Comp Affidavit

Health Waiver Form

Driver Exclusion Form

Workers Compensation Waiver

Waiver Of Subrogation Form

Pet Insurance Claim Form

Health Insurance Waiver Form

Group Insurance Form

Transfer Of Insurance Form

Insurance Proposal Form

Insurance Cancellation Form

Insurance Affidavit

Download our whitepaper on the future of AI in Legal

�ұ�Ծ���’s Security Promise

Your documents are private:

Your documents are protected:

Organizational security

Innovation in privacy:

Want to know more?

Use Cases

tiktok��˰�

How tiktok��˰� reduced drafting time by 75% for a legal firm

�ұ�Ծ��’s Security Promise