Add Vehicle Our process is transparentFor Help Call 1-(248)-856-9000 CONTACT INFORMATION Fields marked (*) are mandatory FIRST NAME LAST NAME CONTACT PHONE E-MAIL POLICY NUMBER NAME OF INSURANCE COMPANY ON POLICY ONLY POLICY CHANGE REQUEST DISCLAIMER I understand that NO changes to my policy or coverage are binding by submitting this Online Policy Change Request. This change request will only be considered bound upon confirmation from my Broker/Agent. REQUESTED EFFECTIVE DATE OF CHANGE I have read and agree with the above(Box must be checked before request can be sent)* ADD NEW VEHICLE Fields marked (*) are mandatory YEAR Please select 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 MAKE Please select ACURA AUDI BMW BUICK CADILLAC CHEVROLET CHRYSLER DAEWOO DODGE FORD GMC HONDA HYUNDAI HUMMER INFINITI ISUZU JAGUAR JEEP KIA LAND ROVER LEXUS LINCOLN MAZDA MERCEDES BENZ MERCURY MITSUBISHI NISSAN OLDSMOBILE PLYMOUTH PONTIAC PORSCHE SAAB SATURN SUBARU SUZUKI TOYOTA WOLSKWAGEN VOLVO MODEL VIN ANNUAL MILAGE(EST) Please select 1k-5k 6k-10k 11k-15k 16k-20k 20k+ VEHICLE USE Please select Business Artisan Clergy Commercial Commute Car Pool Drive to Work/School Over 15 miles Drive to Work/School Under 15 miles Driven to and From Work Driven to and From School Farm Pleasure Retail Service Show (Restricted Use) MILES TO WORK/SCHOOL (1 WAY) Please select 0-5 6-10 11-15 16-20 20+ ANTITHEFT DEVICE CATEGORY Please select No Anti-Theft Device More Than One Device Alarm System Electronic Tracking Other Anti-Theft Device BODY TYPE Please select Two Door Sedan Two Door Hatchback Two Door Liftback Four Door Hatchback Four Door Wagon Four Door Liftback Five Door Sedan Sedan Convertible Coupe Station Wagon Sport Utility Van Mini Van Pickup Truck Cargo Van Limousine Other CYLINDERS Please select 1 2 3 4 5 6 8 12 NEEDS REPAIRS Yes No OWNERSHIP Please select Own Leased Financed PURCHASED/LEASED ON PURCHASE PRICE PRIMARY DRIVER LIENHOLDER NAME (IF LEASED OR FINANCED) LIENHOLDER ADDRESS (IF LEASED OR FINANCED) ADDITIONAL INSURED COVERAGES SECTION Important Notice: Liability limits will be the same as existing vehicles. Physical Damage Deductibles Please select None 100/100 250/250 500/500 1000/1000 Send