Policy Changes
Please Note: Coverage is NOT bound until communicated to you.
Personal Insurance Change Request (Auto and Home Insurance)
Automobile Policy Change Request Forms
- Auto ID Card Request
- General Automobile Policy Change
- Request to Add a Driver to My Auto Policy
- Request to Add a Lienholder to My Auto Policy
- Request to Add A Vehicle to My Auto Policy
- Request to Delete a Driver from My Auto Policy
- Request to Delete a Driver from My Auto Policy (NY)
- Request to Delete a Lienholder from My Auto Policy
- Request to Delete a Vehicle From My Auto Policy
- Request to Delete a Vehicle From My Auto Policy (NY)
- Request to Replace Vehicle on Auto Policy
- Request to Replace Vehicle on Auto Policy (NY)
Homeowner Policy Change Request Forms
- General Homeowner Policy Change
- Home Update Questionnaire
- Personal Insurance Policy Change Request
- Request to Change Mortgagee on My Homeowner Policy
- Request to Change to My Homeowner Dwelling Amount
- Request to Schedule Property on My Homeowner Policy
- Scheduled Jewelry, Art, Collectibles Policy Change Request
Commercial Policy Change Request Forms (Business)
Your personal security is a high priority. All of our quote requests and change forms are secured via SSL (256 Bit) provided by Thawte.
- Car Insurance
- Home Insurance
- Life Insurance
- Business Insurance
Valeri Agency, Inc.
6309 60th Street, Suite 200
P.O. Box 575
Kenosha, WI 53144
Phone: (262) 654-0221
Toll Free: (262) 654-0221
Fax: (262) 654-7967
