Add or Replace a Vehicle - Yakima Valley Insurance

New Vehicle Info

What vehicle are you adding? (year/make/model)*

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.

Is this Vehicle Used for Rideshare (Uber, Lyft, etc.)?*

How many miles per year is it driven?*

How many miles ONE way to work?*

Your best guess is okay

Is this a NEW purchase?*

Yes
No

Purchase date*

Do you need full coverage?*

(Full coverage in this form means Comprehensive and Collision coverage only)

Yes
No

What deductible would you like for Comprehensive?*

Comprehensive is damage or loss from incidents "Other than a Collision" such as Fire or Theft.

What deductible would you like for Collision?*

Collision is damage or loss from incidents a motor vehicle collision not matter of fault.

Do you want Roadside Assistance/Towing Coverage*

Do you want Rental Car Coverage?*

Is the car registered to you?*

If registered to a legal spouse enter yes.

Yes
No

Name and Address of Registered Owner

Name of Registered Owner Mailing Address City State ZIP Code

Do you have a loan on this vehicle?*

No
Yes

Name of Legal Owner (Lienholder/Bank)*

Who is the primary driver?*

Do you need to add any additional drivers?*

If Yes, please also submit a new "Add Driver" request

Upload Registration or New Purchase Paperwork Here (Optional)

Leave any special requests here.

Warning

Warning: It is a crime to knowingly provide false, incomplete, or misleading information to an insurance company for the purpose of defrauding the company. Penalties include imprisonment, fines, and denial of insurance benefits. You must be the Named Insured on the policy to submit a policy change request.

Add or Replace a Vehicle in 2 Easy Steps

Step 1 of 3

New Vehicle Info

Warning