Authorized Drivers Identification
Company Name
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
Account Administrator Email
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
Sans titre
Driver's details
Driver
{binding ItemNumber}
Name
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
Communauto member number (if already subscribed with a personal account)
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
Phone number
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
Email
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
Adress
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
City
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
Province
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
Alberta
Alberta
Colombie-Britannique
Colombie-Britannique
Île-du-Prince-Édouard
Île-du-Prince-Édouard
Manitoba
Manitoba
Nouveau-Brunswick
Nouveau-Brunswick
Nouvelle-Écosse
Nouvelle-Écosse
Nunavut
Nunavut
Ontario
Ontario
Québec
Québec
Saskatchewan
Saskatchewan
Terre-Neuve-et-Labrador
Terre-Neuve-et-Labrador
Territoires du Nord-Ouest
Territoires du Nord-Ouest
Yukon
Yukon
{ binding firstError.message }
Postal Code
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
Country
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
Driver's license
Driver's license number
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
Date of issue
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
Expiration date
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
Issuing country
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
Province
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
Alberta
Alberta
Colombie-Britannique
Colombie-Britannique
Île-du-Prince-Édouard
Île-du-Prince-Édouard
Manitoba
Manitoba
Nouveau-Brunswick
Nouveau-Brunswick
Nouvelle-Écosse
Nouvelle-Écosse
Nunavut
Nunavut
Ontario
Ontario
Québec
Québec
Saskatchewan
Saskatchewan
Terre-Neuve-et-Labrador
Terre-Neuve-et-Labrador
Territoires du Nord-Ouest
Territoires du Nord-Ouest
Yukon
Yukon
{ binding firstError.message }
Years of driving experience
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
Copy of front and back of driving license
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{{ Cognito.resources['fileupload-default-upload-button-text'] }}
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
Recent report (maximum 3 months) of their claim’s history statement
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{{ Cognito.resources['fileupload-default-upload-button-text'] }}
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
Obligatory only if the driver's license has been issued in Quebec
A recent report (maximum 3 months) of their SAAQ driving record
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{{ Cognito.resources['fileupload-default-upload-button-text'] }}
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
Obligatory only if the driver's license has been issued in Quebec
{ binding firstError.message }
{ binding firstError.message }
{{ Cognito.resources['field-repeatingsection-add-link-text'] + " " + "Driver" }}
{ binding firstError.message }
Message
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }
Submit
Authorized Drivers Identification
Authorized Drivers Identification
Company Name
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Account Administrator Email
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Sans titre
Driver's details
Driver
{binding ItemNumber}
Name
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Communauto member number (if already subscribed with a personal account)
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Phone number
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Email
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Adress
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
City
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Province
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Postal Code
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Country
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Driver's license
Driver's license number
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Date of issue
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Expiration date
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Issuing country
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Province
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Years of driving experience
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Copy of front and back of driving license
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{{ Cognito.resources['fileupload-default-upload-button-text'] }}
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
Recent report (maximum 3 months) of their claim’s history statement
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{{ Cognito.resources['fileupload-default-upload-button-text'] }}
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
A recent report (maximum 3 months) of their SAAQ driving record
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{{ Cognito.resources['fileupload-default-upload-button-text'] }}
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Message
{{ Cognito.resources["required-asterisk"] }}
,
{ binding firstError.message }
{ binding firstError.message }