Personal Automobile Coverage Suspension Request Form

  • What is your first name?
  • What is your last name?
  • What is your email address?
  • You are requesting to suspend coverage on your automobile policy to reduce your premium. Once this change is processed you will not have coverage for any claims if the vehicle(s) with coverage suspended is/are driven.
  • Enter the vehicle(s) from which you would like to remove coverage?
    YearMakeModel 
  • Please select the coverage(s) you would like to remove while the vehicle(s) are not in use.
  • What date would you like to have coverage removed?
    MM slash DD slash YYYY
  • Coverage will remain suspended until you notify us that you would like coverage reinstated. Vehicles with coverage suspended should not be driven until coverage is reinstated.
  • Please sign in the space below.
    Clear Signature

Michael Battle




Michael W. Battle earned a Bachelor of Business Administration (Risk Management) degree from Southern Methodist University. For the last 43 years, he has been a Partner and Director at Keen Battle Mead & Company. Michael has served on Boards of Directors, which include being Past-President of the Independent Insurance Agents of Dade County, Past-President of Riviera Country Club, Past-President of Snapper Creek Lakes Homeowners Association, Past-Chairman of Habitat for Humanity of Greater Miami, Past-Director of the Two Hundred Club of Miami. His Board service on a national business level has included: Director of The Council of Insurance Agents and Brokers, Executive Council of Crum & Forster Insurance Company, and President of Sunshine Insurance Limited, a Bermuda Reinsurance Company. Michael has also served the Florida Association of Insurance Agents as Vice Chair of the Automation Committee, the Legislative Committee, and Chairman of the Local Boards Committee.


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