Remove Vehicle Auto Policy

Auto Remove Vehicle Request

Client Service - Remove Vehicle from Existing Auto Policy

Personal Information
Name*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code
Primary Phone*
Please enter number we can call should we have any questions about your request.
Email*
Policy Information
Information to help us serve you better and faster.
Policy Number*
Current Insurance Provider
Optional
Remove Vehicle Information
Are you Adding a Vehicle to Replace this one?*
- Yes
- No
Date Remove from Policy will take Effect:*
MM slash DD slash YYYY
Year*
Make*
Examples: Ford, Chrysler, Dodge, Toyota
Model*
Examples: Mustang, IS250, Edge
Dispose Reason*
Add Vehicle Information
The same coverages & deductibles will be applied to this vehicle at the highest limits currently on the policy
Is the Add Vehicle Date different from the Remove Vehicle Date?*
- Yes
- No
Date Add to Policy will take Effect:*
MM slash DD slash YYYY
Year*
Make*
Examples: Ford, Chrysler, Dodge, Toyota
Model*
Examples: Mustang, IS250, Edge
Ownership*
Lender Name
If known, please share. If not known, we will be in touch.
Lender Address
If known, please share. If not known, we will be in touch.

Street Address Address Line 2 City State ZIP Code
Lease Company
If known, please share. If not known, we will be in touch.
Lease Company Address
If known, please share. If not known, we will be in touch.

Street Address Address Line 2 City State ZIP Code
Vehicle Identification Number (VIN)
If known, please enter. If not known, we will be in touch.
ID Cards and/or Binders - How would you like them delivered?*
- Email
- Fax
- Pick-up at our Office
- Mail to Policy Mailing Address
Contact Name*
Contact Email*
Fax Number*
Keating Agency Insurance
West Hartford Center
10 Arapahoe Road
West Hartford, CT 06017
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Request Your Proposal Here

Are you ready to save time, aggravation, and money? The team at Keating Agency Insurance is here and ready to make the process as painless as possible. We look forward to meeting you!

Start Here

The folks at Keating Insurance are so kind and fair. Up until I've had them, it was just necessary to shop my policies every term...

a month ago

Eric Buhrendorf

When I switched my insurance over to Keating, it was such a pleasant experience. Not only did Maura make it easy, she also saved me...

in the last week

Aina Hoskins

Nobody wants to spend time on insurance. It's mundane and not particularly fun. You do a good job of making what needs to happen, happen...

a month ago

Peter Turner

The folks at Keating are always willing to spend the extra time to explain and advise. Experts on tricky insurance coverage issues. Highly...

3 months ago

David Chmielewski

We've been with Mike and his Team for over 10 years now and I have a feeling we're going to be with Keating Ins. for...

6 months ago

David Molodetz

Remove Vehicle Auto Policy

Auto Remove Vehicle Request

Personal Information

Policy Information

Remove Vehicle Information

Add Vehicle Information

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Please complete the form below for a quote.

Request Your Proposal Here