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Customer Service Forms


Available Customer Service Forms

Self policy service any time of the day, directly from our website. To request a policy change on your account, click any of the following policy service options below.

Add Driver to Existing Auto Policy
Add Driver to Existing Commercial Auto Policy
Add Driver to Existing Motorcycle Policy
Add Driver to Existing Recreational Vehicle Policy
Add Motorcycle to Existing Policy
Add Recreational Vehicle to Existing Policy
Add Vehicle to Existing Auto Policy
Add Vehicle to Existing Commercial Auto Policy
Add Watercraft to Existing Policy
Change Primary Operator on Existing Watercraft Policy
Remove Driver from Existing Auto Policy
Remove Driver from Existing Commercial Auto Policy
Remove Driver from Existing Motorcycle Policy
Remove Driver from Existing Recreational Vehicle Policy
Remove Motorcycle from Existing Policy
Remove Recreational Vehicle from Existing Policy
Remove Vehicle from Existing Auto Policy
Remove Vehicle from Existing Commercial Auto Policy
Remove Watercraft from Existing Policy
Request Declaration and Coverages for Existing Homeowners Insurance Coverage
Request Declaration and Coverages Page for Auto Policy
Request Declaration and Coverages Page for Commercial Auto Policy
Request Declaration and Coverages Page for Existing Flood Insurance Coverage
Request Declaration and Coverages Page for Existing Health Insurance Coverage
Request Declaration and Coverages Page for Existing Renters Insurance Coverage
Request Declaration and Coverages Page for Motorcycle Policy
Request Declaration and Coverages Page for Recreational Vehicle Policy
Request Declaration and Coverages Page for Watercraft Policy
Request Evidence of Insurance
Request General Liability Certificate of Insurance
Send Declaration and Coverages Information to Lien Holder
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Segal Insurance Agency
424 Langley Rd
Newton, MA 02459

Ph: 617.527.4400
Fx:  617.964.8925
Segal Insurance Agency
968 Hancock St
Quincy, MA 02170

Ph: 617.773.7525
Fx:  617.328.7811
Segal Insurance Agency
Central Square Insurance

875 Massachusetts Ave., Suite 11
Cambridge, MA 02139

Ph: 617.876.1300
Fx: 617.441.8684
Deangelis Insurance
283 Merrimack St
Methuen, MA 01844

Ph: 978.682.3397
Fx:  978.681.0773
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