Personal Automobile Coverage Suspension Request Form

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  • 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
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Danielle Rice

In the spring of 2022, Danielle joined Avery as a Senior Commercial Risk Specialist. In her role, Danielle will work with Avery clients to develop comprehensive insurance programs and recommend risk management solutions, security policies, business continuity plans, and recovery measures. Prior to joining Avery Insurance, Danielle’s professional experience includes nearly twenty years as a senior account manager in the insurance industry. Her passion for cultivating strong client relationships coupled with a desire to help clients make informed decisions led her to Avery. Danielle has earned her Accredited Customer Service Representative (ACSR) designation and she is a Commercial Lines Coverage Specialist (CLCS) providing expert knowledge in commercial lines of coverage: general liability, commercial property, workers compensation, and business auto, as well as insurance principles.

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