Request a Policy Change | Wisco Financial & Ins. Corporation

What can we help you with today?*

Auto Policy
Home/Condo Policy
Renters Policy
Motorcycle/Recreational Vehicle Policy
Watercraft/Boat Policy
Camper/Travel Trailer Policy
Manufactured Home Policy
Umbrella Policy
Flood Insurance
Business Owners Policy
General Liability Policy
Business/Commericial Auto
Workers Compensation Policy
Life Insurance
Other

Please select the policy you need to service

What type of home/condo/flood change would you like to make?*

Update Mailing Address ONLY
Update/Add/Remove Mortgagee
Change my coverage
Change my deductible
Cancel my policy
Other

*Signed requests to cancel must accompany "cancel my policy". First term policy cancellations are subject to an agency fee that must be paid prior to Wisco Insurance Company processing your request.

Please indicate the location address of the property we are updating*

What type of change would you like to make?*

Update Mailing Address ONLY
Update Mailing and Location Address
Update Phone or Email
Update/change coverage
Cancel my policy
Other

*Signed requests to cancel must accompany "cancel my policy". First term policy cancellations are subject to an agency fee that must be paid prior to Wisco Insurance Company processing your request.

What type of change do you need to make?*

Add or Replace a Vehicle
Add a Driver
Add or Replace a Loss Payee/Lien holder
Remove a Car
Remove a Driver
Change Coverage
Change Address, Phone or Email
Cancel my policy (signed request must be attached)
Other

Please select all that apply *Requests to cancel a policy must include an uploaded signed request. If an agency fee is required, we will not cancel the policy until the fee is paid.

Please list all household members residing in home*

Please list full legal name, date of birth and drivers license number. All household members are required to be listed on the policy. If you are living with someone who has their own insurance or is not driving please indicate that here. Please upload proof of insurance or email: service@wiscoins.com

Please indicate the vehicle/unit we are updating/changing.*

Please indicate the driver we are removing*

Are we Adding or Replacing a Vehicle?*

Add
Replace

What is the reason for Removing/Replacing?*

Sold/Traded
Salvaged
Vehicle Total Loss (Accident)
Other

Please select an answer below. Keep in mind, if you still own the vehicle and it is operational, we recommend leaving it on your policy.

Please indicate the vehicle/unit we are removing*

What is was the purchase price of the NEW vehicle?*

Please enter the value or purchase price of the vehicle.

What type of vehicle purchase did you make?*

Loan
Lease
Cash Purchase/No Loan

Please indicate your selection below.

How will this vehicle be used?*

Please indicate usage below.

Please describe work usage.*

Be specific!

Is the vehicle used for any of these Ride sharing/delivery service?*

What coverage would you like?*

Comprehensive/Collision "Physical Damage"
Liability Only
Comprehensive/Storage Only
Liability and Comprehensive

Please indicate your selection. If you desire policy add-on's such as roadside, towing, rental reimbursement, or equipment coverage you must select "physical damage". If you are interested in a towing/roadside package, please indicate that in other products you'd like to hear more about.

Who will be driving the vehicle?*

Please indicate all regular operators.

Who titles the vehicle we are adding?*

Please indicate all names listed on title of vehicle.

What Comprehensive Deductible Would you like?

Keep in mind the HIGHER your deductible, the LOWER your premiums will be. Common perils covered by comprehensive: -Fire -Flood -Wind -Hail -Impact with Animals -Windshield/Glass -Theft -Vandalism (not by a colliding object) *See options w/FULL GLASS (no deductible for glass claims) *Check your policy for a detailed description of coverage*

What Collision Deductible would you like?*

$100
$250
$500
$750 (only available with some carriers)
$1000
$2000 (only available with some carriers)

Please indicate what collision deducitble you would like. Keep in mind, the HIGHER the deductible, the LOWER your insurance premiums are. Collision is for YOUR vehicle if you collide into an object

What other "Add-On" coverage would you like?*

Keep in mind, not all carriers offer all of the below options. Please select what you're interested in and one of our team members will notify you if your policy doesn't offer it.

Are we Adding or Replacing your Loss Payee/Lien Holder*

Adding
Replacing
Editing Existing Loss Payee/Lien Holder Information

Please indicate your selection below:

Why are we deleting this driver?*

Moved out of household (not a college student)
Divorce/Separation (Written Consent Required)
Deceased (Death Certificate Required)
Obtained Other Insurance (*Proof Required)
Permanently Disabled (Proof Required)
Surrendered License (Proof Required)
Other

Please indicate the reason below. Keep in mind removing a driver (depending on the reason) may require additional documentation for underwriting. We will contact you to notify you if that documentation is required. *WE CANNOT REMOVE HOUSEHOLD MEMBERS UNLESS THEY QUALIFY FOR ONE OF THE REASONS LISTED. IF YOU SELECT OTHER INSURANCE, WILL WILL NEED PROOF TO FINALIZE YOUR REQUEST. COLLEGE DEPENDENTS NEED TO BE LISTED ON YOUR POLICY FOR HOLIDAY AND SUMMER BREAKS.

What vehicle/unit are we adding/editing loss payee information for?*

Loss Payee/Lien Holder*

Please indicate the full bank name, address for insurance department, loan number (if applicable). If proof of insurance is being requested please include an email or fax# where that needs to be sent- otherwise a copy will go out via mail.

What is the VIN for the NEW vehicle?*

Vehicles post 1980 will have a 17 digit VIN. Please verify you are sending the correct VIN, or we cannot complete your change.

If you selected "Other" Please indicate what we can help you with:*

Please verify Year, Make, Model of NEW vehicle*

Please verify the details of your vehicle addition.

What address is the vehicle being kept at?*

Is there any damage on the vehicle you are adding?*

Please let us know if there is any existing damage to your vehicle. Please note, we may need photos of your vehicle if you are requesting physical damage.

What is the odometer reading on your vehicle?*

What is the full legal name of the driver we are adding?

Please include first, middle initial, and last name.

What is the date of birth of the driver we are adding?*

Please provide drivers license number and issuing state*

What is the driver's occupation?*

What is the gender of NEW driver?*

Male
Female

What is the marital status of the NEW driver?*

What is the drivers highest level of education?*

What vehicle will driver be operating?*

Indicate any discounts this driver may qualify for*

Good Student (3.0 GPA or better)
Defensive Driver Course
Military
Student away at college without vehicle (more than 100 miles)
Clean Driver (5 years)

How will the driver be using the vehicle?*

Commute work/school
Pleasure/secondary operator
Business/Used FOR work purposes
Uber/Lyft/Ridesharing/Delivery

What changes are you looking to make on your life insurance?*

Update Beneficiary
Change Coverage Amount
Update Contact Information
Update Billing Information
Other

Policy Number

Leave blank if not available.

Please give us the details of your request:*

Be specific!

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Phone*

What is the effective date/purchase date of your change?*

I am interested in hearing more about:

Please identify any of the below products we may be able to assist you with!

Please upload any pertinent documents

Drop files here or

Name

This field is for validation purposes and should be left unchanged.

Change Request