Amend your coverage

Fill out this form and tell us what you'd like to change.

Click 'Submit' when you're done and we'll be in touch.

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Please review the questions marked in red.

Policyholder business name
Please tell us exactly how you'd like your business name to appear on your policy. If you're a sole proprietor or haven't thought of a name for your business yet, just put your first and last name here. We can change the details for you at a later date.
Policyholder policy number
The policy number can be found on the certificate of insurance or policy documentation.
Policyholder phone number
Please enter your phone number, including area code.
Policyholder email address

Brief description of how your coverage needs to change:

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*Coverage summaries and descriptions are provided for illustrative purposes only and are subject to the applicable policy terms, limits, conditions, and exclusions. Not all insurance products and services are available in all states.

This information is provided to assist you in understanding the coverage we offer and does not modify the terms and conditions of any insurance policy, nor does it imply that any claim is covered. Coverages are subject to underwriting and may not be available in all states.