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Policy Change Request

The following form is provided to you for making changes or requests on your existing policies. By submitting this form you understand that no coverage or premium adjustment of any kind is bound until you receive written notice from us.

  • General Information

  • Current Insurance Information

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  • 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.
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