Change of Address General InformationName* Company Name (If For a Business) Email* Phone*Current Insurance InformationInsurance Company Name Policy Number Policy Expiration Date MM slash DD slash YYYY Date You Would Like Changes to Take Effect MM slash DD slash YYYY Describe Requested ChangesDISCLAIMER: Any changes/requests/quotes expressed over the internet can only be honored after Follmer Insurance Services has acknowledged the receipt of the change and after underwriting approval. Changes expressed in emails or messages are not bound automatically. All new policies and changes are subject to verification and underwriting approval. Customer Service hours at Follmer Insurance Services are Monday-Friday 9:00 AM – 5:00 PM. RESOURCES Billing & Claims Certificate of Insurance Request Add/Remove Vehicle Add/Remove Driver Change of Address Refer A Friend Auto ID Card Request FAQs
