Changes to Homeowner's or Tenant's Policy
About You
Name(s) of insured(s):
1
st
insured:
2
nd
insured:
How can we reach you?
E-Mail
Phone
E-mail address:
Daytime telephone #:
Home telephone #:
Fax #:
Address
Number and street:
Apartment#/PO Box:
City:
Province:
Postal Code:
Telephone (home):
Telephone (business):
Ext #:
Addition, Deletion or Change Requested:
When will this change be effective?
(dd/mm/yyyy)
About Your Insurance
Specify the policy to which this change applies:
Policy #1
Policy #2
Policy #3
Type of insurance:
Company:
Policy #:
Additional Comments:
info@ifgcanada.com
1-800-563-7283
