Is this payment for a new policy?
If No, you
provide the Policy or invoice number relating to this payment:
I understand that submitting payment does not guarantee coverage until confirmed by the agency. Additionally, I understand that payment does not guarantee coverage in the event the policy has entered a cancellation status by the insurance company.
I understand that a $3.00 (Three Dollars And Zero Cents) service fee will be added to the total of my payment.
Please enter the amount of your payment (
the service fee): $