Use this form to request a vehicle addition or replacement on your existing VanScoter Insurance Agency auto policy. Dealerships may also submit a request on behalf of a customer. Please provide as much information as you can so our team can help process your request.
Important: Submitting this form does not bind coverage, add a vehicle, or make a change to your policy. Our team will review your request and contact the policyholder to verify the details and confirm any change.
Requests are reviewed during our regular business hours. If you need a change, proof of insurance, or an ID card today, please call (585) 663-2004. For urgent requests outside our business hours, contact your insurance company directly using the contact information on your policy or insurance ID card. Do not rely on this form as confirmation of coverage.
Fields marked with an asterisk (*) are required. If you are a dealership, enter the customer’s information in the policyholder fields and your information in the dealership section. If you are not yet a client, please contact us or request a quote.


