Skip to content
509-248-2100
Insurance
Auto Insurance
Home Insurance
Business Insurance
Life Insurance
Information
Contact Us
Our Companies
Make a Payment
Proof of Insurance Request
Certificate Request
Submit a Claim
State Requirements
Arizona
Oregon
Washington
Get a Quote
Auto Insurance Quote
Home Insurance Quote
Life Insurance Quote
📞 509-248-2100
Get a Quote
Auto Insurance Quote
Home Insurance Quote
Life Insurance Quote
Information
Our Companies
Make a Payment
Proof of Insurance Request
Add or Replace a Vehicle
State Requirements
Insurance
Auto Insurance
Home Insurance
Life Insurance
Add or Replace a Vehicle
Casey
2020-12-13T09:19:20-08:00
Add or Replace a Vehicle Request
Requester Name
*
First
Last
Requester Phone
*
Requester Email
*
I certify I am the Named Insured on this policy change request
*
Yes I agree
Policy Number if Known
Effective Date of Change Request
*
Date Format: MM slash DD slash YYYY
Are you replacing a vehicle?
*
Yes
No
Which vehicle are you removing? (year/make/model)
*
Reason for removal
*
Vehicle Sold
Vehicle not operable
Vehicle not being used
Other
Date of Sale
*
Date Format: MM slash DD slash YYYY
Upload bill of sale (optional)
New Vehicle Info
Year of vehicle are you adding
*
What is the VIN# (Vehicle to be added)
*
How is the vehicle primarily used?
*
To and From Work/School (Commute)
Pleasure
Business
Tell us more about your business usage
*
Please select the option that most resembles how you use this vehicle.
Sales - (Drive to customer home or business)
Contractor - (Drive to Jobsite)
Delivery - (Delivery of any kind)
Livery - (Transporting of clients/customers)
Other - Not otherwise classified
Is this Vehicle Used for Rideshare or Food Delivery (Uber, Uber Eats, Instacart, Door Dash etc.)?
*
No
Yes
How many miles per year is it driven?
*
Between 5,001 - 12,000 annually
5,000 or less annually
More than 12,000 annually
How many miles ONE way to work?
*
Your best guess is okay
Is this a NEW purchase?
*
Yes
No
Purchase date
*
Date Format: MM slash DD slash YYYY
Do you need full coverage?
*
(Full coverage in this form means Comprehensive and Collision coverage only)
Yes