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Complete this form to delete a vehicle from your policy.

Note:  If you are replacing one vehicle with another do not use this form.  
Instead, click here.

Contact Information:

Name:
E-mail Address:
Policy Number:
   

Enter the information for the vehicle you wish to delete:

Year:
Make:
Model:
What is the reason for deleting this vehicle:
 

Remarks:

 

 

 

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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