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Commercial Trucking Policy Change Request

General Information
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Add Additional Insured
Business Name*
DBA
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Street Address Address Line 2 City State ZIP Code
Add Certificate Holders
Additional Certificate Holders Information*
Add or Update Loss Payee
Describe Requested Changes*
Add or Remove Drivers
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Name State DL # Years of Experience Any Violations within 3 Years?
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Name State DL #
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Atlanta Office

Karen & King Insurance
5051 Peachtree Corners Cir
Suite 200
Norcross, Georgia 30092

Office Hours:
- Mon-Fri: 24/7
- Sat-Sun: 24/7

Glendale Office

Karen & King Insurance
200 West Wilson Blvd
Suite 2325
Glendale, California 91203

Office Hours:
- Mon-Fri: 9:00am-5:00pm
- Sat-Sun: Closed

Insurance

Policy Service

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By submitting an application through this site, you acknowledge that certain personal data disclosed as part of the application process is necessary for the purposes of evaluating and issuing insurance products to you by the insurer and its affiliates and you hereby consent to the insurer and its insurance affiliates processing such information. You understand that the insurer may share the information disclosed as part of the application process for purposes of evaluating and issuing insurance products and risk management services (including to the producer listed on the application), but that the insurer will not disclose your personal information to unaffiliated advertisers or vendors. You acknowledge that you have the right to withdraw your consent to the insurer’s use of your personal data that is deemed by the insurer to be unnecessary for the purposes stated above by notifying us in writing.

Karen & King Insurance provides commercial trucking, personal auto, business, life, health, and auto insurance nationwide. Servicing: Alabama, Arkansas, Arizona, California, Colorado, Connecticut, District of Columbia, Delaware, Florida, Georgia, Hawaii, Iowa, Idaho, Illinois, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Maryland, Maine, Michigan, Minnesota, Missouri, Mississippi, Montana, North Carolina, Nebraska, New Hampshire, New Jersey, New Mexico, Nevada, New York, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin, West Virginia.

Name	State	DL #	Years of Experience	Any Violations within 3 Years?

Name	State	DL #

Commercial Trucking Policy Change Request