Remove a vehicle

Please call us if you need immediate service

Name of Policy Holder:
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 #:
Effective date of change (mm-dd-yyyy):
Year/Make/Model of vehicle:
Name of current driver:
They will now drive which vehicle:
Daily mileage to work/school (one way, state whether MI or KM):
Annual mileage (state whether MI or KM):
Reason for removal:
Are you deleting the vehicle AND driver?	Please select.. Yes No
If yes what is the deleted drivers name:

Please note, this transaction is not effective until you receive a confirming call, email or the Policy Declarations page showing the change.