Add Vehicle to Policy 1

Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.

Personal Information

First Name *

Last Name *

Street *

City *

State *

ZIP / Postal Code *

Primary Phone Number *

Alternate Phone Number

E-Mail Address *

Policy Number *

Vehicle Information

Year *

Make *

Model *

VIN #

Lien Holder

Coverage Options

Coverage *

Comprehensive Deductible

Collision Deductible

Ownership *

How many miles will you drive your car annually? (Approximately)

What percentage of your vehicles total use time is driven by you?

Effective Date

Submission Validation

Required

Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.

Insurance Websites Designed and Hosted by Insurance Website Builder



SWEET INSURANCE AGENCY 30100 Telegraph Rd, Suite 150 \| Bingham Farms, MI 48025 \| Ph: 248.723.6000 \| Ph: 800.641.SAIL (7245) \| Fx: 248.723.8234 Powered by Insurance Website Builder