Commercial Auto Change - Brown & Brown Insurance of MN, Inc.

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530 West Pleasant Street, Suite 100
Mankato, Minnesota 56001
Phone (507) 388-2010

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Commercial Auto Change Request
Your Name
Company
Phone Number
Fax Number
Email Address
Effective Date
Add or Delete?
Year
Make
Model
VIN
Purchase Price
Liability?
Comprehensive
Comp Deductible
Collision
Collision Deductible
Loss Payee?
Address 1
Address 2
City, State, Zip
Misc Info/Questions
Should be Empty:

* Please Note: Coverage cannot be assumed to be bound without confirmation from a licensed agent. A representitive from Brown & Brown will be in contact with you shortly to finalize any changes or cancelations.

Commercial Auto Change Request