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Policy Change Request

Use this form to request a change to your current insurance policy. By submitting this form you understand that no coverage or premium adjustment of any kind is bound until you receive written notice from us.

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The following form is provided to you for making changes or requests on your existing policies. Our team will confirm every change in writing.

General information

Current insurance information

Attachments

Attach titles, bills of sale, lender letters or anything else that helps, if any. Max file size 25 MB.

No coverage or premium adjustment is bound until you receive written notice from Horizon Insurance.