Yoder Insurance Agency, LTD
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Service Request

You can request to add or delete a driver or request a certificate of insurance.

Select the appropriate Request Type and leave the information for the driver or the certificate holder.  Sending this information via the website is quick.  BUT we still need to add the information and this may take as long as 48 hours for driver information.  We will confirm that we have received your request via phone, email or fax as quickly as possible.

Leave the driver or Certificate holder information in the comments section of the information boxes.

Drivers-be sure to leave Date of birth, years of experience driving commercial vehicles, license number, state issuing the license and Social Security Number.

Certificates-leave company information requesting your certificate including complete address, fax and phone numbers.  Specify if they want to be named Additional Insured or just a Certificate Holder.

Adding a vehicle requires all 17digits of the VIN.  If there is a Loss Payee on the vehicle, be sure to leave those details in the comment box as well.

Adding or Deleting a Driver - Leave the driver details in the Comments box below.  Put your name in the  First and Last Name box. Leave your  phone number so I can confirm this request with you.  Be sure to list if the driver is being added or deleted.
Request Form

* Required Field

Request Type: *
First Name: *
Last Name: *
Company Name:
Address Street 1: *
Address Street 2:
City: *
Zip Code: * (5 digits)
State: *
Daytime Phone: *
Evening Phone:
Email: *
Comments: *
Security Code: *