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Insurance Policy Service Requests Made Simple

Need help with your policy? Eversafe Insurance Agency makes it easy to request policy changes, report claims, update coverage information, and more. Select the service you need and submit your request online. Our team will review it and follow up as needed.

Your information

Full name *

Policy number (if known)

Email address *

Phone number *

What can we help you with? *

Change Address

Add Vehicle

Remove Vehicle

Change Vehicle Info

Add Driver

Remove Driver

General Auto Request

File Auto Claim

General Home Request

File Property Loss

Billing Info Request

Report a Claim

Refer a Friend

Change Address

New street address *

City *

State *

ZIP code *

Which policies?

Effective date *

Add Vehicle

Year *

Make *

Model *

VIN *

Garaging ZIP code *

Primary use *

Effective date *

Coverage needed *

Liability

Collision

Comprehensive

Uninsured motorist

Roadside assistance

Rental reimbursement

Remove Vehicle

Year *

Make *

Model *

VIN

Removal effective date *

Reason for removal *

Change Vehicle Information

Year *

Make *

Model *

What is changing? *

VIN

Lienholder / lender

Primary use

Annual mileage

Garaging address

Other

New information / details *

Effective date *

Add Driver

First name *

Last name *

Date of birth *

Driver license number *

License state *

Gender *

Marital status *

Relationship to insured *

Effective date *

Remove Driver

Driver name *

Effective date *

Reason for removal *

General Auto Insurance Request

Request type *

Details / message *

File Auto Claim

Date of incident *

Time of incident * (approx.)

Location of incident *

Vehicle(s) involved — year / make / model *

Were there injuries or other parties involved? *

Yes

No

Describe injuries / other parties

Incident description *

Photos / documents

General Home Insurance Request

Property address *

Request type *

Details / message *

File Property Loss

Property address *

Date of loss *

Cause of loss *

Description of damage *

Were any emergency repairs made? *

Yes

No

Describe the emergency repairs

Photos / documents

Billing Information Request

What do you need help with? *

Details / question

Report a Claim

Type of claim *

Date of incident *

Brief description *

Refer a Friend or Family Member

Referral's name *

Referral's email *

Referral's phone

Insurance they're interested in

Auto

Home / renters

Life

Umbrella

Business

Not sure

Additional notes

We typically respond within 1 business day.

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Contact Us

1139 W. Valley Blvd, Alhambra, CA 91803
(626) 821-4900 (626) 570-4784
(626) 570-9758
mail@eversafeins.com jason.mao@eversafeins.com

10508 Lower Azusa Rd, Suite 202, El Monte, CA 91731
(626) 821-4900
tina.cui@eversafeins.com

18204 Gale Ave, Unit F, City of Industry, CA 91745
(626) 821-4900
victoria.yang@eversafeins.com

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