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Yes! You can use AI to fill out Brotherhood Mutual Insurance Company Ministry Driver Screening Form (A99)

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Brotherhood Mutual Insurance Company Ministry Driver Screening Form (A99), page 1
Basic · 40/100Form Complexity Index

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What this form asks for

The AI fills all of it, from your answers or your documents.

The Brotherhood Mutual Ministry Driver Screening Form (A99) is a driver information and risk-screening questionnaire used by ministries to document who will drive a specific vehicle, whether the driver is primary, and whether there are recent incidents such as accidents, violations, license actions, impairments, or DUI/DWI history. The information helps the ministry and insurer evaluate driver eligibility and supports completion of related commercial auto supplemental applications (referenced as Commercial Vehicle Driver Information (A 98)). Accurate answers are important because they affect underwriting decisions and the processing of commercial vehicle coverage. Today, this form can be filled out quickly and accurately using AI-powered services like Instafill.ai, which can also convert non-fillable PDF versions into interactive fillable forms.
Fillable fields31
Pages1
Sections14
Questions that depend on earlier answers1
Form Complexity IndexBasic, 40/100

The AI checks your answers before you download

16 checks built for this form, so a wrong date or a missing answer is caught before anyone else sees it.

Ministry Name is present and uses an official/legal format

Validates that the Ministry Name field is not blank and contains a plausible organization name (not just initials, a single word, or placeholder text like “N/A”). This is important because the insurer must match the submission to the correct insured entity and policy records. If validation fails, the submission should be flagged as incomplete and prevented from routing to underwriting until corrected.

Ministry address completeness (Address Line 1 + City/State/ZIP required)

Checks that Address Line 1 and City/State/ZIP are provided, while Address Line 2 remains optional. A complete address is required for policy administration, correspondence, and record matching. If any required address component is missing, the form should be rejected or returned for completion.

City, State, ZIP format validation

Validates that the City/State/ZIP field follows the expected pattern (e.g., "City, ST, 12345" or "City, ST 12345") with a two-letter state abbreviation and a 5-digit ZIP (optionally ZIP+4 if your system supports it). This reduces downstream parsing errors and ensures consistent data storage. If the format is invalid, prompt the user to correct the state abbreviation and ZIP formatting before submission.

Policy Number required and conforms to allowed character rules

Ensures the Policy Number is present and matches the insurer’s expected character set (commonly alphanumeric with limited punctuation such as hyphens). This is critical to link the driver screening to the correct policy and avoid misfiling. If validation fails, the submission should be held and the user asked to re-enter the policy number exactly as shown on policy documents.

Driver name completeness and plausibility (as shown on license)

Checks that the Driver’s Name is not blank and includes at least a first and last name, avoiding numeric characters and obvious placeholders. The name must be usable for license verification and underwriting review. If validation fails, the form should be marked incomplete and require correction before acceptance.

Date of Birth format and realistic range validation

Validates that Date of Birth is a valid date in an accepted format (e.g., MM/DD/YYYY) and is not in the future. It should also enforce a reasonable age range for drivers (e.g., at least 14/16 depending on business rules, and not implausibly old such as >100+ unless explicitly allowed). If validation fails, block submission and request a corrected DOB.

And 10 more checks
  • Driver’s license state abbreviation validation
  • Driver’s license number presence and character/length constraints
  • Commercial Driver License (CDL) Yes/No exclusivity
  • Primary Driver Yes/No exclusivity
  • Vehicle identification completeness (Year/Make/Model required)
  • Vehicle Year is a valid 4-digit year within an acceptable range
  • Past 3 Years questions 1–6 require a single Yes/No answer each
  • Details required when any Past 3 Years answer is Yes
  • Details must be empty or explicitly allowed when all Past 3 Years answers are No
  • Signature and Date Signed required; Date Signed not in the future

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How to Fill Out A99 Online for Free in 2026

What the AI walks you through.

  1. Go to Instafill.ai and upload the Brotherhood Mutual Ministry Driver Screening Form (A99) PDF (or select it from the form library, if available).
  2. Enter the ministry information: ministry name, address lines, city/state/ZIP, and the policy number.
  3. Provide driver identification details exactly as shown on the license: driver name, date of birth, and driver’s license state and number; indicate whether it is a commercial driver license (CDL).
  4. Enter the vehicle details for the vehicle the driver will be driving: year, make, and model; indicate whether the driver is the primary driver based on the form’s definition.
  5. Answer the six “In the past three years” screening questions by selecting Yes/No for each (accidents, moving violations, insurance cancellation/refusal, license revocation/suspension/restriction, physical impairments, DUI/DWI).
  6. If any answers are “Yes,” use Instafill.ai to generate and complete the required incident details section (dates, descriptions, amounts, and explanations) and review for completeness and consistency.
  7. Add the signature and date signed, then download, print, or securely share the completed form as required by the ministry or Brotherhood Mutual.

Common Mistakes in Completing A99

The ones the AI is built to catch.

Using a nickname or mismatching the driver’s legal name
People often enter a preferred name (e.g., “Mike” instead of “Michael”) or omit a middle name/initial even though the form asks for the name exactly as shown on the license. This can cause identity mismatches when the insurer runs MVR (motor vehicle record) checks, delaying underwriting or triggering follow-up requests. Copy the name directly from the driver’s license, including suffixes (Jr., III) and middle name/initial if present; AI tools like Instafill.ai can help standardize and validate name formatting against stored identity data.
Incorrect date of birth format or transposed numbers
DOB is frequently entered in the wrong format (MM/DD vs DD/MM) or with swapped digits, especially when handwriting or typing quickly. An incorrect DOB can prevent accurate record pulls and may be treated as inconsistent information, slowing approval. Always use a clear numeric format (e.g., MM/DD/YYYY) and double-check against the license; Instafill.ai can auto-format dates and flag impossible or inconsistent DOB entries.
Entering the driver’s license number without the issuing state (or using the wrong state abbreviation)
Applicants sometimes provide only the license number, spell out the state name, or use a nonstandard abbreviation, even though the form expects the state abbreviation plus the number. This can lead to failed MVR lookups or requests for clarification. Use the two-letter state code (e.g., OH) exactly as issued and then the full license number as printed; Instafill.ai can validate state abbreviations and ensure the license field is complete.
Misunderstanding the CDL question
Many drivers check “Yes” because they drive a large van/bus, or check “No” because they don’t drive commercially, confusing vehicle use with license class. A wrong CDL answer can affect eligibility, rating, and underwriting requirements. Confirm whether the license itself is a Commercial Driver License (CDL) as indicated on the license, not whether the driving is for ministry purposes; Instafill.ai can prompt for confirmation when vehicle type and CDL selection appear inconsistent.
Leaving vehicle details incomplete or using trim/package instead of model
People often fill in only the make, skip the model/year, or enter a trim level (e.g., “XLT”) where the model is required (e.g., “F-150”). Incomplete or inconsistent vehicle identification can delay matching to registration records and slow policy processing. Use the registration to enter the 4-digit year, manufacturer (make), and model name/designation; Instafill.ai can format the year correctly and help keep make/model entries consistent.
Answering the Primary Driver question incorrectly
The form defines “primary driver” as driving more than once per month or more than 12 times per year, but many people answer based on job title, ownership, or who “usually” drives. Misclassification can cause underwriting issues because the insurer expects one named primary driver per vehicle for commercial auto policies. Use the form’s frequency definition and estimate actual driving frequency over a year; Instafill.ai can guide users with the definition and reduce misinterpretation.
Checking both Yes and No (or neither) for the past-3-years questions
With paired checkboxes, it’s common to accidentally mark both options, skip a line, or misalign answers when completing quickly. Conflicting or missing responses typically trigger follow-up and can stall processing until corrected. For each question 1–6, select exactly one box (Yes or No) and review the row before moving on; Instafill.ai can enforce single-choice logic and prevent contradictory selections.
Not providing details after a “Yes” answer (or providing vague details)
Applicants often check “Yes” but leave the details section blank, or write “see record” without dates, amounts, or descriptions. Missing details can lead to underwriting delays, additional documentation requests, or an inability to evaluate risk properly. If any of questions 1–6 are “Yes,” include dates, what happened, location/jurisdiction, amounts (if applicable), and outcome; Instafill.ai can prompt for required incident details and ensure the explanation is complete.
Misinterpreting the “past three years” timeframe
People sometimes report incidents older than three years, or exclude incidents that occurred within three years because they think it means “last three calendar years.” This can create inconsistencies with MVR/CLUE reports and may be treated as inaccurate disclosure. Use a rolling 36-month window from today (or from the signing date) and include any incidents within that period; Instafill.ai can help calculate the correct window and flag dates that fall outside it.
Omitting or mis-formatting ministry address fields (City/State/ZIP and Address Line 2)
A frequent issue is putting the full address into one line, forgetting the ZIP, using a nonstandard state format, or ignoring Address Line 2 for suite/unit information. Incorrect address data can cause correspondence problems and mismatches with insurer records. Enter street/PO box in Address Line 1, suite/unit/building in Address Line 2, and City + two-letter state + ZIP in the specified format; Instafill.ai can validate postal formatting and standardize addresses.
Missing policy number or using the wrong identifier
Applicants sometimes leave the policy number blank, enter an internal ministry reference, or copy a number from the wrong document. This can prevent the insurer from linking the screening form to the correct account, delaying processing. Use the policy number exactly as shown on the policy documents and verify it matches the ministry name; Instafill.ai can help pull and validate the correct policy number from stored records or prior submissions.
Forgetting to sign and date (or using an inconsistent signing date)
Signatures and dates are commonly missed, especially when the form is printed/scanned or completed in a hurry. An unsigned or undated form may be considered incomplete and can’t be relied upon for certification, leading to resubmission requests. Ensure the signer provides a full signature and enters the date signed (matching the actual completion date); if the form is a flat non-fillable PDF, Instafill.ai can convert it into a fillable version and help ensure signature/date fields aren’t overlooked.

Frequently Asked Questions About A99

 

Is it really free for 7 days?
Yes. You pay $0 today. Cancel before Nov 14 and you are never charged. Keep it, and it is $19.99 a month for 5 fills of your A99.
Can I fill other forms too?
This plan is for your A99: your own AI agent fills it as often as 5 times a month. To fill other forms and upload your own, choose a Professional plan from your account.
How do I cancel?
From your account, in two clicks, any time. No email, no call.
How does the AI fill out A99?
You answer a few questions in plain words, or upload your driver's license. The AI reads what you give it and puts each answer into the right field of A99, on every page, in seconds. It checks the answers against the form's own rules, and you review and change anything before you download, print or sign.
What happens to my information?
It is encrypted in transit and at rest, and it is never used to train AI.
How complex is A99 to fill out?
A99 has a Form Complexity Index of 40 out of 100, in the basic tier: 31 fillable fields across 1 page. Instafill.ai's AI fills it in under a minute, with every field there for you to review before you download.
What is the Brotherhood Mutual “Ministry Driver Screening” form used for?
This form is used to collect driver and vehicle information for a ministry’s commercial auto insurance screening process. It helps the insurer evaluate driver eligibility and supports the supplemental application (Commercial Vehicle Driver Information, A98).
Who needs to fill out this driver screening form?
Each person who will drive a ministry vehicle—especially the primary driver for a vehicle on a commercial auto policy—should complete a form. Ministries often complete one form per driver per vehicle.
What does “primary driver” mean on this form?
A primary driver is someone who drives the vehicle more than once per month or more than 12 times per year. If that definition fits you, check “Yes” for primary driver.
What information do I need before I start filling out the form?
Have the ministry’s name, address, and policy number ready, plus the driver’s license (name exactly as shown, date of birth, issuing state, and license number). You’ll also need the vehicle year, make, and model from the registration or vehicle records.
How should I enter the driver’s name on the form?
Enter the driver’s full name exactly as it appears on the driver’s license, including middle name or initial if shown. Matching the license helps avoid processing delays.
How do I complete the “Driver’s license state and number” field?
Enter the two-letter state abbreviation for the issuing state followed by the license number exactly as printed on the license. Double-check spacing and any leading zeros if applicable.
When should I check “Yes” for “Is this a commercial driver license (CDL)?”
Check “Yes” only if the driver’s license is a CDL (commercial driver license). If the driver has a standard non-commercial license, check “No.”
Which vehicle details are required (year, make, model), and where do I find them?
You must provide the vehicle year, make, and model for the vehicle the driver will be driving. This information is typically on the vehicle registration, title, or the ministry’s vehicle list.
The form asks about the past three years—what incidents do I need to report?
You must answer Yes/No for at-fault accidents, moving violations, insurance cancellation/refusal, license suspension/revocation/restriction, physical impairments (other than corrective glasses), and DUI/DWI charges or convictions. If any are “Yes,” you must provide details (dates, descriptions, amounts, and explanations).
What counts as a “moving traffic violation” for this form?
Moving violations generally include citations like speeding, running a red light, reckless driving, or improper lane changes. If you’re unsure whether something qualifies, it’s safer to disclose it and explain in the details section.
What should I write in the “Details for Yes Answers” section?
Provide complete information for each “Yes,” including the date(s), what happened, location (if known), amounts (such as damages or fines), and the outcome. Clear details help the ministry and insurer review the driver without follow-up delays.
Do I still need to sign and date the form if all answers are “No”?
Yes—signing and dating certifies that the information you provided is accurate, even if there are no incidents to report. Unsigned forms are commonly considered incomplete.
How do I submit this form, and how long does processing take?
Submission is typically handled by your ministry or insurance agent (for example, by uploading to a portal or emailing/faxing per their instructions). Processing time varies, but incomplete driver details or missing signatures are common reasons for delays.
Can AI tools help me fill out this form accurately?
Yes—AI form-filling tools can help reduce errors and save time by auto-filling fields from your provided information. Services like Instafill.ai can map your details to the correct fields and help you review before signing.
How can I fill out this PDF online using Instafill.ai, and what if the PDF isn’t fillable?
Upload the PDF to Instafill.ai, provide the ministry/driver/vehicle details, and the AI will auto-fill the form fields for you to review and export. If the PDF is flat or non-fillable, Instafill.ai can convert it into an interactive fillable form before completing it.
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