Auto Change Request Form Named Insured Policy # What are the changes? Address Coverage Driver Vehicle Other ChangesI certify(Required) I certify I asked ALL questions on EACH page to verify the insurance company requirements are met and the client has been offered the coverage that will best protect their quality of life should they need to make a claim. I advised the client of the cost to make the changes and confirmed if they would like to proceed. I verified their best phone #, email, and address. I VERIFIED the requestor is a NAMED INSURED. Review Changes Address change: Did they buy a home? Are there any changes to the drivers or people in your household? Coverage change: Insured must sign agreeing to the change before it will be processed. Driver added: Copy of license. Progressive does not charge for permitted drivers under 18. List license type as permitted instead of valid. Driver deleted: Verify insurance company requirement. Insured must sign a form before driver is deleted. Vehicle added: Registration or title confirming name is named insured or meets insurance company requirement. Vehicle deleted: Insured must sign a form BEFORE it’s deleted.
