Form 1045, Corporate Occupant Questionnaire Instructions
This form contains 31 fields organized into 9 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| Additional Vehicle / Notes | ||
| Additional Vehicle / Notes 1 | Text |
Enter any additional vehicle information or general notes related to automobiles to be parked at the property (for example extra Year/Make/Model, license plate, color, or other relevant remarks).
|
| Emergency Contact Information | ||
| Relationship to Occupant | Text |
Enter the emergency contact's relationship to the occupant(s) (for example: spouse, parent, friend, manager). Fill only if 'Emergency Contact Name' is filled.
Depends on:
Emergency Contact Name
|
| Emergency Contact State | Text |
Enter the state for the emergency contact's address (two-letter abbreviation or full name). Fill only if 'Emergency Contact Name' is filled.
Depends on:
Emergency Contact Name
|
| Emergency Contact City | Text |
Enter the city for the emergency contact's address. Fill only if 'Emergency Contact Name' is filled.
Depends on:
Emergency Contact Name
|
| Emergency Contact Phone Number | Text |
Enter the contact's primary phone number including area code and any extension if applicable. Fill only if 'Emergency Contact Name' is filled.
Depends on:
Emergency Contact Name
|
| Emergency Contact Address | Text |
Enter the contact's street address, including apartment or unit number if applicable. Fill only if 'Emergency Contact Name' is filled.
Depends on:
Emergency Contact Name
|
| Emergency Contact Name | Text |
Enter the full name of the emergency contact (first and last).
|
| Emergency Contact ZIP Code | Text |
Enter the postal ZIP code for the emergency contact's address (5-digit or ZIP+4). Fill only if 'Emergency Contact Name' is filled.
Depends on:
Emergency Contact Name
|
| First Pet (Type/Breed, Age/Color/Sex, Name) | ||
| First Pet Age/Color/Sex | Text |
Provide the first pet's age, primary color, and sex in a single entry (for example, '3 years, black, male'). Fill only if 'First Pet Type/Breed' is filled.
Depends on:
First Pet Type/Breed
|
| First Pet Type/Breed | Text |
Enter the animal type and specific breed of your first pet (for example, 'Dog — Labrador' or 'Cat — Siamese').
|
| First Pet Name | Text |
Enter the given name of your first pet as used by the household. Fill only if 'First Pet Type/Breed' is filled.
Depends on:
First Pet Type/Breed
|
| First Vehicle (Year/Make/Model & License Plate) | ||
| First Vehicle Year/Make/Model | Text |
Enter the first vehicle's year, manufacturer (make), and model (for example: 2018 Toyota Camry).
|
| First Vehicle License Plate | Text |
Enter the license plate number (including letters, numbers, and any state abbreviation if required) for the first vehicle. Fill only if 'First Vehicle Year/Make/Model' is filled.
Depends on:
First Vehicle Year/Make/Model
|
| Occupant Personal Information | ||
| Social Security Number | Text |
Enter the occupant's Social Security Number exactly as issued.
|
| City | Text |
Enter the city where the occupant resides.
|
| State | Text |
Enter the occupant's state of residence (abbreviation or full name).
|
| Date of Birth | Date |
Enter the occupant's date of birth.
|
| Zip Code | Text |
Enter the postal ZIP code for the occupant's address.
|
| Email Address | Text |
Enter the occupant's email address for contact.
|
| Phone Number | Text |
Enter the occupant's primary phone number, including area code.
|
| Address | Text |
Enter the occupant's street mailing address, including apartment or suite if applicable.
|
| Occupant Name | Text |
Enter the occupant's full legal name (first and last).
|
| Occupant Signature 1 (Signature & Date) | ||
| Occupant Signature 1 - Date | Date |
Enter the date when the occupant signed this form.
|
| Occupant Signature 1 - Signature | Text |
Enter the occupant's handwritten signature exactly as they sign the form to acknowledge the information provided.
|
| Occupant Signature 2 (Signature & Date) | ||
| Occupant 2 Signature Date | Date |
Enter the date when the second occupant signed the form.
|
| Occupant 2 Signature | Text |
Enter the printed name or handwritten signature of the second occupant signing this form.
|
| Second Pet (Type/Breed, Age/Color/Sex, Name) | ||
| Second Pet — Age/Color/Sex | Text |
Provide the second pet's age, primary color, and sex in a short form (for example: 3 yrs / Brown / Male). Fill only if 'Second Pet — Type/Breed' is filled.
Depends on:
Second Pet — Type/Breed
|
| Second Pet — Type/Breed | Text |
Enter the type or breed of the second pet (for example: Dog — Labrador, Cat — Siamese, Bird — Parakeet).
|
| Second Pet — Name | Text |
Enter the full name of the second pet as you want it recorded on the form. Fill only if 'Second Pet — Type/Breed' is filled.
Depends on:
Second Pet — Type/Breed
|
| Second Vehicle (Year/Make/Model & License Plate) | ||
| Second Vehicle - Year/Make/Model | Text |
Enter the year, manufacturer (make) and model of the second vehicle (for example: 2018 Toyota Camry).
|
| Second Vehicle - License Plate | Text |
Enter the license plate number (including state or jurisdiction if required) for the second vehicle. Fill only if 'Second Vehicle - Year/Make/Model' is filled.
Depends on:
Second Vehicle - Year/Make/Model
|