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819 SE 14th Loop, Ste 106, Battle Ground Wa. 98604 - 360-852-8217 | You Save We Give

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Vancouver Clark County Insurance

Vancouver Clark County Insurance

Contact Client Service

Give us a call at 360-852-8217 or fill in the form below and our client service team will reach out ASAP!

What would you like to do?*
- Change Vehicle
- Add a Lien Holder
- Add / Remove a driver
- Update Address

Name*
First Last
Phone*
I wish to receive text messages as well.
- I agree
MSG and data rates may apply. I can text STOP at anytime to end
Email*

Choose*
- Add a vehicle
- Replace a vehicle
- Remove a vehicle

Make*
Model*
Year*
Vin#*
Purchase date*
Vehicle Usage*
- Work / School Commute
- Pleasure
Do you need comprehensive coverage? (FULL COVERAGE)*
- Yes
- No
Desired Deductible (comprehensive coverage)*
- $250
- $500
- $1000
Do you need collision coverage?*
- Yes
- No
Desired Deductible (collision coverage)*
- $500
- $1000
Is there a lienholder?*
Name of lienholder*
Address of lienholder*
Who is the primary driver of this vehicle?*
Additional Comments

Which vehicle are you replacing?
Year*
Make*
Model*
Acknowledge*
- Please be advised, once this request is submitted, there will be no more coverage for this vehicle as of today's date.
Add the new vehicle
Make*
Model*
Year*
Vin#*
Purchase date*
MM slash DD slash YYYY
Vehicle Usage*
- Work / School Commute
- Pleasure
Do you need comprehensive coverage?*
- Yes
- No
Desired Deductible for comprehensive coverage*
- 250
- 500
- 1000
Do you need collision coverage?*
- Yes
- No
Desired Deductible for collision coverage:*
- 500
- 1000
Is there a lienholder?*
- Yes
- No
Name of lienholder*
Address of lienholder*
Who is the primary driver of this vehicle?*
Additional Comments

Remove a vehicle
Which vehicle are you removing
Year*
Make*
Model*
Please be advised, once this request is submitted, there will be no more coverage for this vehicle as of today's date.
- Acknowledge

On what risk does the line holder or additional interest need to be added to?*
- Auto
- Home
- Renters
- Other
Year*
Make*
Model*
Loan or reference number*
Name of property needing line holder update
Name of lienholder / additional interest

Add or Remove a driver:*
- Add a driver
- Remove a driver

Add a driver
Name*
First Middle Last
DOB*
Drivers license #*
Drivers license state*
Relationship to named insured on the policy*
Employment status*
- Employe
- Student
- Retired
Occupation*
GPA of 3.0 or higher?*
- Yes
- No
Did the student complete driver certification training?*
- Yes
- No
Note - Documentation must be submitted within 1 business day.

Driver to be removed
Name*
First Middle Last

Current Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
New Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Note:
All valid requests must be submitted by the named insured and all contact information must be accurate with the same information VanClark Agency has in our system Please click the SUBMIT button below to complete your request.

Call 360-852-8217

Untitled design

Visit our office at:
819 SE 14th Loop, Ste 106,
Battle Ground, WA 98604

INSURANCE TYPES WE COVER

Auto Insurance
Business Insurance
Home Insurance
Renters Insurance
Special Event Insurance Coverage
Broadform Insurance
SR22 Insurance Filing
Course of Construction / Builders Risk
Condominium Insurance
Motorcycle Insurance
Recreational Vehicle (RV) Insurance
Boat and Watercraft Insurance
Landlord Insurance (Rental Dwelling)

We’re open M-F
M-Th 9:00am to 5:00pm
F 8:00 am to 3:00pm
360-852-8217

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