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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Hellen Hill

Hellen joined the Avery team in the summer of 2022 as a risk specialist in the commercial division of the agency. Prior to joining Avery, Hellen worked for many years as a commercial lines manager servicing large, complicated accounts. She took a break from her insurance career to earn her Master’s Degree in Education from Franklin Peirce University. After a stint in teaching, she decided to return to her roots and is happy to be back in insurance. Hellen hails from Concord, NH but recently relocated to Tampa, FL with her son.

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