1. Please type or neatly print this application.
2. Please fill out each space in the application. If a particular question is not applicable, please type N/A.
3. Incomplete applications will be returned and delay the acceptance process.
4. Each page should be initialed and page 6 must be signed for the application to be complete.
5. If there is not enough room to answer a question completely, please use a separate page and reference
it on the application form.
6. Do not submit the application until you have all the pages completed and the additional requested
documentation.
7. Additional required documentation includes:
Copy of alarm license (where required by state or municipality)
Copy of Contractors license (where required by state or municipality)
Copy of Liability Insurance policy with E&O coverage (pages with pertinent data including face amount are all that are necessary)
Copy of Business Automobile policy (pages with pertinent data are all that are necessary)
8. Additional information may be required after application review.
Initial application and documentation may be faxed to Dustin Reilich at 949-481-8436.
Original documents should also be mailed directly to SAG Acceptance Corporation, LLC.
Mail completed application package to:
SAG Acceptance Company LLC
Attn: Dustin Reilich
60 Via Regalo
San Clemente, CA 92673
