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.

Please note that any incoming e-mail requests to Witkin Scott Associates, Inc to bind, effect, or amend coverage, terms or conditions of any policy or submit a claim shall not be treated as having been received until formal acknowledgement has been sent to the originator of the e-mail. An automated response advising of the absence of the addressee member of our staff does not constitute a formal response.

  • General Information

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