Update Agency Information

Does your agency require updates?

We are dedicated to providing you with quick and attentive service. To ensure we have the most up-to-date information for your agency, please fill out the form below. If you have any questions, contact Sandi Filean, Compliance Manager, at (800) 652-9515 (Extension #2974) or via email at sfilean@truckers-insurance.com.

Please note that we are a paperless agency. If you have not yet designated a paperless contact for policies and endorsements or for statements and billing, please fill out the corresponding information below.

Agency Name/DBA*

Customer Number

Upload Errors & Omissions Certificate of Insurance

Please note: We require a minimum limit of $1 million per occurrence/aggregate

Drop files here or

Max. file size: 64 MB.

Confirmation Email Address*

A confirmation email will be sent to this address.

New Agency Contacts

Please list any new or changed contact information. You may also choose to attach a complete personnel list including title and contact details. These contacts will be utilized for any future communication needs.

Click the (+) button to add a new contact.

Name

Phone Number

Email Address

Job Title

Grant Portal Access? (Y/N)

Personnel List

Max. file size: 64 MB.

Paperless Policy and Endorsement Contact

Please provide paperless contact information for policies and endorsements. Click the + button to add additional contacts.

Name

Job Title

Email Address

Paperless Statements and Billing Contact

Please provide paperless contact information for statements. Click the + button to add additional contacts.

Name

Job Title

Email Address

Has your agency changed addresses, phone numbers, or any other agency information in the last year we should be aware of?*

Yes

Updates Address

Please fill out if your agency has changed addresses.

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country

Updated Phone Number

Please fill out if your agency has changed .

Other Updates

Please include any other information we should update about your agencies.