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Delete A Driver

Policyholder Name:
E-mail Address:
Policy Number:
   

Driver Information

Name of driver to delete:
Date of birth for deleted driver:
   
Note:  Most driver deletions require that a driver exclusion form be signed.  It is likely that we will send you a driver exclusion for your signature.  Once that exclusion is returned to us, then the change will be made.  If a driver exclusion is not necessary, you will simply receive an e-mail from us indicating that the change has been made.  Also, it should be noted that once a driver is deleted, there is no coverage for that deleted driver.

 

 

Kennedy Professional Insurance Agency
P.O. Box 847
19167 Highway 18, Suite 1
Apple Valley, CA  92307
(760) 242-2345 Phone
(760) 242-2211 Fax
kpia@kpia.com

License#:  0B44021
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