Add Or Remove Vehicle to Existing Policy Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly. Policy Holder Information First Name* Last Name* Business Name Street* City* Zip / Postal Code* Phone Number*E-Mail Address* Add or Remove a Vehicle Information* Add a Vehicle - Vehicle Information Remove a Vehicle - Vehicle Information Add a Vehicle - Vehicle Information Effective Date of Change* MM slash DD slash YYYY Year* Make* Model: Vehicle VIN#* Does Vehicle have Loan or Lease*NoLoan/FinancedLeaseBank/Finance or Lease Information:Name on Vehicle Title* Primary driver of vehicle* How many miles to you drive one way to work? (Approximately): Coverage Options*Liability Only Coverage (No Physical Damage)Liability & Comprehensive CoverageLiability & Full Cov'g (Comp & Collision)Comprehensive Deductible:25050010002500Collision Deductible:2505001000Towing:YesNoRental:YesNoRemove Vehicle from Existing Policy Remove a Vehicle - Vehicle Information Effective Date of Change:* MM slash DD slash YYYY Vehicle 1 Year Model* Vehicle 1 Make* Vehicle 1 Model* Vehicle VIN#: Reason for removing vehicle* DISCLAIMER: Any changes expressed over the internet can only be honored after Davidson Stewart Morelock Independent Insurance Group, Inc has acknowledged the receipt of the change and after underwriting approval. Changes expressed in emails or messages are not bound automatically. All changes are subject to verification and underwriting approval. Customer Service hours at Davidson Stewart Morelock Independent Insurance Group, Inc are Monday-Friday 8-4:30 PM. Resource Menu File a Claim Certificate of Insurance Add/ Remove a Driver Add/Remove a Vehicle Notify of a Change of Address Request Policy ID Card Request Proof of Insurance Customer Referral
