Change your name

Please call us if you need immediate service

Policy Holders Name:
Address:
Address 2:
City/Town:
Postal Code:
Email Address:
Home Phone:
Work Phone:
Fax Number:
Which A.P. Reid Office normally provides your policy service?:	Please select.. Amherst Bridgewater Chester Cole Harbour George Mitchell Insurance Halifax Kentville Mahone Bay Petitcodiac Porters Lake Stellarton Woodlawn Head Office - Corporate Services
Policy #:
Current name on policy:
New name:
Reason for changing name:
Effective date of change:

Please note, this transaction is not effective until you receive a confirming call, email or the Policy Declarations page showing the change. If this "name change" is due to marriage, we will need the new spousal information. Please call us or complete the "add driver" form. Even if your new spouse will not be driving, we will need information about your spouse and their insurance information too.