CUSTOMER SERVICE REQUEST Please note that some policy changes cannot be made, however we will try our best to fulfill your request. Only the Policyholder(s) can request changes to an existing policy, we will send you confirmation to your email on file. No policy change is completed unless we send confirmation. If you need immediate customer service you are welcome to call 361-756-5020 or text 361-219-8751.Thank You Your name: Your email: Phone: Policy #: Reason(s) for requesting service:(Select all Applicable)Require Feilds Will Appear-Please completes as much information as possible. ID CARDSCERTIFICATE OF INSURANCE(COI)UPDATE DRIVER(S)UPDATE VEHECLE(S)UPDATE COVERAGE(S)UPDATE CONTACT INFORMATIONMAKE A CLAIMOTHER SERVICE REQUEST What do you want to do? ReplaceRemoveAddUpdate Existing NameExclude Driver(s)Marital Status Change Upload Picture of Driver’s License Why do you need to remove from Policy? SEPERATEDDEVORCEMOVED OUTDECEASEDAWAY TO COLLEGE Upload Proof to support removal: Upload Picture of Driver’s License Please enter reason for the update name. Name Change/MisspelledMarital Status PLease enter correct Name. Upload Picture of Driver’s License or Passport or Marriage License Please provide name(s) and Driver's License to all household members you want to exclude: Upload Picture of Driver’s License or Married License Upload Proof of new address(current utility bill or Update driver's License) RemoveReplaceAdd Update Liability LimitsUpdate UM/UIMUpdate PIPUpdate Comp/CollUpdate RentalUpdate Towing 30/60/2550/100/50100/300/50100/300/100OTHER Remove/RejectAdd/Update Remove/RejectAdd/Update ADDREMOVE What Vehicle would you like me to add COMP?COLL? Whatdeductable? 100/100250/250500/500750/7501000/10001500/15002000/2000100/100 w/$0 Glass250/250 w/$0 Glass500/500 w/$0 Glass750/750 w/$0 Glass1000/1000 w/$0 Glass2000/2000 w/$0 Glass $40 Per Day (1200 Max)$50 Per Day (1500 Max)$60 Per Day (1800 Max) SelectSelect/Trip InterruptionRemoveRemove On Trip Interruption