Skip to the content

Auto ID Card Request

Fill out the following form as completely as possible. Once you have completed the form, click "Submit Card Request" to send your information to us. We will handle your request shortly.

  • General Information

  • Insurance Information

  • By providing my phone number to Van Handel Agency, Inc., I agree and acknowledge that Van Handel Agency, Inc. may send text messages to my wireless phone number for the purpose of providing information. Message and data rates may apply. Message frequency will vary, and you will be able to Opt-out by replying ‚ÄúSTOP", assistance can be found by texting "HELP". For more information on how your data will be handled please visit our Copyrights and Privacy Statement.
  • This field is for validation purposes and should be left unchanged.