LKF/garage | Master Mechanic's Tool Protector Program Application

Master Mechanic's Tool Protector Program Application

Please complete this form for each additional mechanic that you wish to insure.

Mechanic's Roster Addendum
Facility Name:
Mechanic's Full Name:
Social Security Number:
Home Address:
City:
State:		ZIP Code:
Years experience as a mechanic:
Professional certifications:

Date mechanic started employment at this facility:
Is this your only employment?
Additional comments about this mechanic: