Add a Vehicle If you need to add another vehicle to your existing policy, simply fill out the form below and we’ll get in touch with you to confirm the amendment. Company First & Last Name of Policy Holder * Policy Number * Effective Date * Email Address * Phone Number * Vehicle Year * New Vehicle Make * New Vehicle Model * VIN # (17 digits) * Registered Owner's Name * Name of Primary Driver * Preferred Method of Contact * Email Phone Coverage Type * Full Coverage On This Vehicle Liability Only On This Vehicle Is There a Loan on This Vehicle * Yes No Comments Confirmation I understand that no coverage is effective until I receive confirmation from a representative of Willow Insurance Agencies, LLC or from my insurance carrier. Privacy Policy * Coverage on your policy cannot be bound only by filling this form. Only after you confirm the information with one of your team members will the changes go into effect.
