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General Policy Service

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Please use this form to make a general information request on your policy. For example, you have refinanced your home and need to change mortgage companies on your policy. Also, If you have a question about your insurance policy or other insurance related
topics, please let us know. It could be that you do not know how much your next payment on your policy is or when it is due. It could be that you are curious as to what your current limits of liability are on your auto insurance policy. Or you want to know if the color of your vehicle effects the cost of insurance.  Which by the way, it does not.

We will do our best to give you a quick reply to your questions or requests. For requests to bind insurance coverage, i.e. adding a vehicle to your policy, please call The Murray Insurance Agency at 270-753-4751. We cannot guarantee that we will receive your
transmission, so if you do not hear from us about your request, please call or stop by.

No coverage is bound by filling out this form.  Therefore please limit online requests to those issues that do not involve binding of coverage (I.E change of loss payee).  We will call you once we have processed the change so please leave a number where you can be reached.  If you do not hear from us, please call or stop by The Murray Insurance Agency.  We are not responsible for information that fails to transmit to us via E-mail.

* indicates required information


Name*

Address*

City*    State*     Zip* 

Policy Number

Phone Number*

E-Mail*

Date of Request*

Your Request*

Please note that this form is for a request only.  By submitting this form it does not bind coverage in any way.  If you do not hear from us in a reasonable amount of time, assume we did not get this request for an insurance quote, and call our office.

I understand that filling out and submitting this form DOES NOT bind coverage in any way, and the only way coverage can be bound will be when I am informed of a binder or policy is issued by the agent representing me.

I have read and agree with the above disclaimer (it is mandatory to check box before request can be sent).


 


 

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