Auto Insurance Annual Review

Auto Insurance Should Be Reviewed Annually!

Please complete the online form below.  Once you submit the form, an ALLCHOICE Insurance Advisor will review your answers.

If you feel more comfortable completing a form offline, please click the link below.  You can answer the questions and send the form back to our office for review.

Annual Auto Insurance Review Form

 

Are you concerned about Identity Theft?	No Yes
IN THE LAST 9-12 MONTHS
Has there been a change of drivers on your policy?	Yes No
Has there been a change of vehicles listed on your policy?	Yes No
Has a teen driver become licensed?	Yes No
Have you, or any driver changed jobs or school locations?	Yes No
Have any insured vehicles been customized or altered?	Yes No
Have you installed an auto security system?	Yes No
Have you paid off a vehicle loan?	Yes No
Have you discussed Comprehensive Coverage with your Agent?	No Yes
Have you discussed Collision Coverage with your Agent	No Yes
Have you discussed Towing & Labor Coverage with your Agent?	No Yes
Have you discussed Rental Reimbursement with your Agent?	No Yes
Have you considered raising you Liability Limits?	No Yes
Would you like and Advisor to Contact You?	No Yes
Additional Questions
Do you own or rent your home?	Rent Own
Are your Home & Auto Insurance with the same Carrier?	Yes No
Do you currently have any life insurance?	Yes No
Are you considering a CD or Annuity Investment?	Yes No
ALLCHOICE Referral Program
Are you a member of the ALLCHOICE Referral Program?	Yes No
Would you like more information about the Referral Program?	No Yes
Update Your Contact Information
Full Name
Address
City
State	GA IL NY OH Other PA SC TN TX VA WV NC
Zip Code
Phone Number
Preferred Email Address
Please Confirm Your Answers And Submit