Customer Service Forms


Available Customer Service Forms


Self policy service any time of the day, directly from our website. To request a policy change on your account, click any of the following policy service options below.

Add Driver to Existing Auto Policy
Add Driver to Existing Commercial Auto Policy
Add Driver to Existing Motorcycle Policy
Add Driver to Existing Recreational Vehicle Policy
Add Motorcycle to Existing Policy
Add Recreational Vehicle to Existing Policy
Add Vehicle to Existing Auto Policy
Add Vehicle to Existing Commercial Auto Policy
Add Watercraft to Existing Policy
Change Primary Operator on Existing Watercraft Policy
Remove Driver from Existing Auto Policy
Remove Driver from Existing Commercial Auto Policy
Remove Driver from Existing Motorcycle Policy
Remove Driver from Existing Recreational Vehicle Policy
Remove Motorcycle from Existing Policy
Remove Recreational Vehicle from Existing Policy
Remove Vehicle from Existing Auto Policy
Remove Vehicle from Existing Commercial Auto Policy
Remove Watercraft from Existing Policy
Request Declaration and Coverages for Existing Homeowners Insurance Coverage
Request Declaration and Coverages Page for Auto Policy
Request Declaration and Coverages Page for Commercial Auto Policy
Request Declaration and Coverages Page for Exisiting Dental Insurance Coverage
Request Declaration and Coverages Page for Exisiting Health Insurance Coverage
Request Declaration and Coverages Page for Exisiting Life Insurance Coverage
Request Declaration and Coverages Page for Exisiting Vision Insurance Coverage
Request Declaration and Coverages Page for Existing Earthquake Insurance
Request Declaration and Coverages Page for Existing Flood Insurance Coverage
Request Declaration and Coverages Page for Existing Renters Insurance Coverage
Request Declaration and Coverages Page for Existing Wind Insurance Coverage
Request Declaration and Coverages Page for Motorcycle Policy
Request Declaration and Coverages Page for Recreational Vehicle Policy
Request Declaration and Coverages Page for Watercraft Policy
Request General Liability Certificate of Insurance
Request ID Card for Auto Policy
Request ID Card for Commercial Auto Policy
Request ID Card for Motorcycle Policy
Request ID Card for Recreational Vehicle Policy
Request ID Card for Watercraft Policy
Send Declaration and Coverages Information to Lien Holder


More Information


Our online customer service capabilities currently allow you to report an auto claim and add or delete a vehicle to your policy. Once you submit a form, it is sent as e-mail to our staff and will be reviewed.

A West Virginia Insurance Agency  representative will contact you by the form of communication you indicate below (phone or e-mail). For your protection, all new coverage or coverage changes must be bound by a licensed agent or representative of our agency. Therefore, before new coverage or coverage changes requested from this website can be made effective, one of the following must occur:
  • 1. A personal conversation between you and your agent, or an authorized representative from our agency; or,
  • 2. You receive a written confirmation from our agency verifying that the new coverage or coverage change has been bound.

New coverages or changes in coverage requested via e-mail from this website will not be effective until a conversation or confirmation occurs. Policy conditions, terms and eligibility can vary from company to company. Thus, coverages are subject to the policy terms and conditions detailed in each company’s insurance contract.