Let Trustpoint Insurance help you find the right coverage. CONTACT US TODAY: 1-866-276-9622 OR EMAIL US: gitmoapp@trustpointins.com Step 1 of 6 16% Application for Auto Insurance at Naval Station Guantanamo Bay Cuba Program Administrator: Trustpoint Insurance Insurance Carrier: CNAInstructions You will need the following items to complete this application: * Drivers License * Vehicle Information (Year/Make/Model/VIN) * Payment by V-check or credit card Do not close your browser without clicking "save and continue later". Links inside the form will open a new tab and you may return to this form by clicking the NSGB Auto tab at the top of your browser window. Is this your first time purchasing insurance from Trustpoint/Lunsford NSGB Auto Insurance Program*YesNo Application for Auto Insurance at Naval Station Guantanamo Bay CubaDriver/Policyholder Information:Driver's License #*Issued byName* First Last Email* Phone*Mailing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Application for Auto Insurance at Naval Station Guantanamo Bay CubaInsured Vehicle Information:Year*Make*Model*Vehicle Identification Number (VIN)*Note that VIN #s never use the letters O, I or Q as they may be confused with numbers 0 and 1. VERIFY YOUR VIN AT NATIONAL INSURANCE CRIME BUREAU If you wish to verify use this link . Application for Auto Insurance at Naval Station Guantanamo Bay CubaCoverage Term : Six (6) Months. Effective Date:* Date Format: MM slash DD slash YYYY The later of the date requested above or the date payment is received.Liability Limit*Bodily Injury of $25,000 per person / $50,000 per incidentProperty Damage $25,000 per incident$500 PremiumBodily Injury of $100,000 per person / $300,000 per incidentProperty Damage $50,000 per incident$950 PremiumPhysical Damage to Your Own Vehicle:*DeclineNo coverage for damage to your own vehicle$0 PremiumAcceptCoverage for the lesser of repair or replacement cost of your vehicle / Less a $2,000 deductible per incident$300 Premium Application for Auto Insurance at Naval Station Guantanamo Bay CubaPremium*2% Tax*Total Due*TERMS AND CONDITIONS*1) The answers in this application are true. 2) I understand the coverage and terms outlined above. 3) The six-month premium and tax as calculated above have been paid. 4) This premium is fully earned for the six-month policy period. Effective from the later of date indicated above or payment receipt. 5) No refunds will be made for policies cancelled prior to the expiration date. 6) All policy notices and documents will be sent electronically to the e-mail address provided. 7) This insurance policy will not automatically renew nor, will any renewal offer be made prior to or after the expiration of this policy. 8) To renew coverage a new application must be completed and premium paid via this website.I agree with these terms and conditions. Application for Auto Insurance at Naval Station Guantanamo Bay CubaPAYMENT INSTRUCTIONS Please select either CREDIT CARD or V-CHECK link to pay your premium. Premium must be paid on or before the effective date of coverage. *These links go to external secure websites. (You may want to save your progress before continuing.) *Make note of your confirmation number in the credit card or v-check receipt. *VERY IMPORTANT After making payment at separate site (will open in new tab). Return to this tab and complete your application by entering payment confirmation (see below) and clicking Submit.PAYMENT OPTIONSCREDITCARD This third party credit card processing site charges a 3% fee.VIRTUALCHECK Select "yes" to "new policy" option. Make check payable to Trustpoint Insurance. This third party site does not charge a fee.Payment Confirmation Number*When you return to this tab from the payment site. Enter the 11 digit confirmation number provided by them.
