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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Justine Miley, AIC, AINS

In the fall of 2022, Justine Miley joined the agency as a Senior Claims Advisor. In this newly-created role, Justine will oversee all aspects of the claims process, conduct trend analysis and reserve reduction efforts, and will proactively educate clients on the impact claims have on their overall insurance program.

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