Mid-Columbia Insurance

Change Vehicle Coverage
If increasing "other than collision" or "collision" coverage the agency will require you email us 2 photos showing all 4 sides of the vehicle or stop by the office for photos to be taken. Photos may be emailed to:
Year:
Make:	--select-- Acura Alfa Romeo AM General American Motors ARO Audi Avanti Bertone BMW Buick Cadillac Checker Chevrolet Chrysler Daewoo Daihatsu Delorean Dodge Eagle Ferrari Fiat Ford Geo GMC Honda Hyundai Infiniti International Isuzu Jaguar Jeep Kia Lancia Land Rover Lexus Licoln Lotus Maserati Mazda Mercedes Benz Mercury Merkur MG Mitsubishi Nissan Oldsmobile Opel Plymouth Pontiac Porsche Renault Saab Saturn Sterling Subaru Suzuki Toyota Triumph TVR Volkswagen Volvo Yugo
Model:
*Vehicle Identification Number (VIN):
Other than Collision Deductible:	--select-- None 100 250 500 1000
Collision Deductible:	--select-- None 100 250 500 1000
Are you the registered owner?	Yes        No
Any damage to vehicle?	Yes**     No
Any special equipment?	Yes**     No
Vehicle modified or salvaged?	Yes**     No

When your change request is received by Mid-Columbia Insurance, a change form will be emailed back to you showing the changes we have made.  If the changes are correct, follow the instructions for doing an e-signature.  If you do not receive our change form by the next business day, please call us.

* I understand that no changes will go into effect until I sign the change request that the agency will email me.

* Required Fields
** If answer is Yes please describe in Additional Information field