COVID-19 Service Request

Service Disclaimer

The changes made via this form are due to the COVID-19 Pandemic.

Once any of the conditions causing the change(s) made in this form change, revert back to Pre-COVID-19 conditions…please contact ALLCHOICE.

Your Name*
First Last
Business Name (when applicable)
Your Email
Your Mobile Phone
Is It Ok To Text?*
WHAT TYPE OF POLICY DO YOU WANT TO CHANGE
Personal | Business | Both*
- Select All
- Personal Insurance Changes
- Business Insurance Changes
Personal Insurance
- Auto
- Home
Business Insurance
- Business Auto
- Workers Compensation
- Business Owners (Inc General Liability)
Personal Auto Insurance Change
I No Longer Drive My Vehicle To & From Work (or Business)
- No Change In Usage (No Change)
- Reduce All Vehicles To Pleasure
- Reduce Some Vehicles To Pleasure
Which Vehicle(s) Need To Be Changed?
Give The Following Info: Year | Make | Model | Last 5 Of VIN
Do You Want To Reduce Coverage(s)
Do You Want To Increase Deductibles Or Remove Optional Coverage(s)
Change Comprehensive Deductible On ALL Vehicles
Change Collision Deductible On ALL Vehicles
Change Extended Transportation
Change Towing & Labor
Home Insurance Change
Change Home Insurance Deductible
Business Auto Insurance Changes
Vehicle Operations Have Changed (AUTOB)
- No Change In Usage (No Change)
- Reduce All Vehicles Radius Of Operations
- Reduce Some Vehicles Radius Of Operations
Which Vehicle(s) Need To Be Changed? (AUTOB)
Give The Following Info: Year | Make | Model | Last 5 Of VIN
Do You Want To Reduce AUTOB Coverage(s)
Do You Want To Increase Deductibles Or Remove Optional Coverage(s)
Change Comprehensive Deductible On ALL Vehicles (AUTOB)
Change Collision Deductible On ALL Vehicles (AUTOB)
Workers Compensation Insurance Change
Reduce Payroll
- Reduce Payroll (Select If Only One Class Code)
- Reduce Payroll (Select If More Than One Class Code)
Reduce Payroll (One Class Code)

Enter New Estimated Annual Payroll
Reduce Payroll (More Than One Class Code)
Enter Class Code & New Annualized Payroll
Business Owners (GL) Changes
Coverage Changes
- Reduce Coverage(s) &/Or Exposures
- Add Coverage(s) &/Or Exposures
Reduce Exposure(s)
- Reduce Payroll
- Reduce Revenue
- Increase Deductible
Reduce Payroll (Enter New Annualized Payroll)
Reduce Payroll (Enter New Annualized Revenue)
Change Deductible
Add Coverage (Increase Coverage)
- Add/Increase Cyber Liability
- Add/Increase EPLI
- Add/Increase Other Options
Upload Any Files You May Have
Drop files here or

Max. file size: 50 MB.

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Service Disclaimer

WHAT TYPE OF POLICY DO YOU WANT TO CHANGE

Personal Auto Insurance Change

Home Insurance Change

Business Auto Insurance Changes

Workers Compensation Insurance Change

Business Owners (GL) Changes