Change Vehicle

Follow the Steps below to submit your policy updates for adding or removing a vehicle.

Step 1

Contact Information
Please provide the contact information for the primary policy holder.
Items mark with * are required.

First name*

Last name*

Contact number*

Email address*

Policy number*

Step 2

Add Vehicle
Please provide all information listed for adding a new vehicle.

Add vehicle?

Yes No

Vehicle Information

Year

Make

Model

VIN*

Odometer*

Date of purchase*

Vehicle History & Use

Salvage title?*

Any damage on vehicle?*

Non-factory patrts?*

Vehicle Use*

Miles to work*

Estimated annual mileage*

Vehicle Owner Information

Registered owners*

Primary driver*

Address of location where vehicle is kept?

Ownership*

Lease or Lienholder Name

Lease or Lienholder Address

Requested Coverage

Liability only*

Physical damage*

Comprehensive deductible*

Collision deductible*

Rental car benefit*

Roadside assistance*

Replacement cost*

GAP insurance*

Extended warranty*

Step 3

Remove Vehicle
Please provide all information listed for removing a vehicle.

Remove a vehicle?

Yes No

Year*

Make*

Model*

Last four of VIN*

Reason for removal?*

Step 4

Confirmation

I understand that NO changes to my policy or coverage are binding by submitting this Online Policy Change Request. This change request will only be considered bound upon confirmation from an authorized Williams Insurance employee.

Need Assistance? Call (714) 526-5588