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Add or Remove a Commercial Auto
If the request requires immediate action please contact our staff by phone so we can support you in the timeframe you require.
866-957-KMRD (5673)
KMRD Client Contact Information
First Name
*
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Last Name
*
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Company Name of KMRD Client
*
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Phone:
*
Email:
*
KMRD Service Person Name Or Office
🛈
Auto Information
*
Add Vehicle
Remove Vehicle
Year
*
Make:
*
Model:
*
Vehicle Identification Number (Only last 4 digits are required when removing vehicles)
*
Radius
0-50 Miles
5-200 Miles
200+ Miles
Gross Vehicle Weight (for other than private passenger vehicles)
Light
Medium
Heavy
Extra-Heavy
Original Cost New
Garage Location (City & State Only)
Is this vehicle equipped with any aftermarket special equipment?
*
Yes
No
If so, please describe and offer the replacement cost value of such equipment/modifications.
*
Thank you for utilizing this system. You should recieve confirmation of your request via email. A KMRD representative will reach out to you with questions if we have them. If you do not hear from us, feel free to call at
866-957-KMRD (5673)
or
contactus@kmrdpartners.com
This form is for communication purposes only. This form does not bind coverage.