in Hagerstown, MD | Younger Insurance Agency

Contact Us

How can I help?(Required)

Claims Service

General

Add a driver

Remove a driver

Add a vehicle

Remove a vehicle

Address Change

Carrier Request

Client cancelling

COI

Coverage change

FR19

ID Card Request/Dec Page request

Inspection

Make Payment

Mortgagee/Lienholder Change

Payment Method Change

Payment Question

Request for remarket

Insured Name(Required)

First Last

Insured Email from AZ(Required)

Policy Number(Required)

Service Request Assigned To(Required)

Did Ticket Assignee Take Service Request

Yes

Is the person the ticket is assigned to, the same person that is filling out this form

Who is completing this form?

General: What can we help with?(Required)

General: Additional comments(Required)

Thank you for giving me this information. I will work on this and be in touch!

Add a vehicle: Is this a quote only request?(Required)

Yes

Add vehicle: What is the new car?(Required)

Add a vehicle: What is the VIN (Should be 17 digits)(Required)

Add a vehicle: When was it purchased?(Required)

MM slash DD slash YYYY

Add a vehicle:Who is it registered to?(Required)

Add a vehicle: Is it registered in the state you live in?(Required)

Yes

Add a vehicle: Is it replacing something else on your policy?(Required)

Yes

IF YES BE SURE TO CHECK THE "REMOVE A VEHICLE SECTION TO GO THROUGH THOSE QUESTIONS"

Add a vehicle: Is their a loan on the vehicle?(Required)

Yes

Add a vehicle: Does the vehicle have a salvage or branded title?(Required)

Yes

Add a vehicle: Tell me more about the title status?(Required)

Add a vehicle: Name of lienholder(Required)

Add a vehicle: How is the car being used?(Required)

Pleasure

Commuting

Business

Other

Add a vehicle: Annual Mileage Roughly?(Required)

Add a vehicle: Are you planning on doing rideshare activities?(Required)

Yes

Uber, Lyft, Doordash, Shipt, etc.

Add a vehicle: Who is the primary driver?(Required)

Add a vehicle: Did you want to match coverages you have currently?(Required)

Yes, match coverage

No, go with agency standards ($100 comp, $500 collision, roadside, and at least $40/day rental)

Other

Review the comprehensive and collision deductible. Review if they have roadside, rental, glass coverage, etc. IF THEY DO NOT HAVE ROADSIDE OR RENTAL OFFER TO ADD IT.

Add a vehicle: What coverage do you want on this vehicle?(Required)

Review the comprehensive and collision deductible. Review if they have roadside, rental, glass coverage, etc. IF THEY DO NOT HAVE ROADSIDE OR RENTAL OFFER TO ADD IT.

Add a vehicle: Additional Comments(Required)

Thank you for giving me all this information. I will get working on having this change made in the next few minutes and be in touch with your new ID cards!

Remove a vehicle: Is this a quote only request?(Required)

Yes

Remove a vehicle: What car are we removing?(Required)

Remove a vehicle: What date do you want it removed?(Required)

MM slash DD slash YYYY

We typically base this off the date of sale, date of trade in, or date of returning tags if in MD

Remove a vehicle: Why are you removing it?(Required)

Vehicle sold

Vehicle totaled

No longer possess vehicle

Other

Remove a vehicle: MD ONLY CUSTOMERS: Did your return tags to MVA?(Required)

Yes

N/A

Remove a vehicle: When did you return them(Required)

MM slash DD slash YYYY

This should be the date of removing the vehicle from the policy.

Remove a vehicle: When do you plan on returning them?(Required)

MM slash DD slash YYYY

Let the customer know that we can create a ticket for them right now, but they should contact us when they get them returned and we will process the removal of the vehicle.

Remove a vehicle: Is there a replacement car?(Required)

Yes, want to add now

No, not replacing

Will be eventually replaced

Replacement vehicle already added to policy

Other

Remove a vehicle: Additional Comments(Required)

Thank you for giving me all this information. I will get this vehicle removed in the next few minutes and everything will be set!

Add a driver: Is this a quote only request?(Required)

Yes

Add a driver: Name of the new driver?(Required)

Address Change: What date did you/are you moving?(Required)

MM slash DD slash YYYY

Address Change: What is the new address?(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Address Change: Ownership Type(Required)

Own

Rent

Living with parents

Other

Address Change: Is this move in the same state you reside in now?(Required)

Yes, same state

No, new state

Address Change: Does YIA write in that state?(Required)

Yes (it is PA, MD, VA, WV, or DC)

Address Change: When do you plan on changing your registration and tags over to the new state?(Required)

Address Change: Any new drivers that need added to the policy?(Required)

Yes

N/A

If YES, be sure to go up and check the box of adding a new driver for service.

Address Change: Additional Comments(Required)

Add a driver: Relation to the policy holder(Required)

Spouse

Child

Parent

Family Member

Significant Other

Other

Add a driver: Do you need to add another vehicle?(Required)

Yes

Add a driver: Who is the registered owner of the car?(Required)

Policy Holder

Driver that is getting added

Other

MAKE SURE YOU CHECK THE BOX OF ADDING A VEHICLE AND GO THROUGH THOSE QUESTIONS

Add a driver: What vehicle will they be driving?(Required)

Add a driver: Date of Birth(Required)

MM slash DD slash YYYY

Add a driver: License number(Required)

Add a driver: Do they live in your house?(Required)

Yes

Add a driver: Where do they live?(Required)

Add a driver: Are they under 25?(Required)

Yes

Add a driver: If under 25, did they take drivers ed?(Required)

Yes

Add a driver: If under 25, are they in school currently?(Required)

Yes

Add a driver: If under 25, are they in school with a 3.0 GPA?(Required)

Yes

Add a driver: Will you be able to send me a copy of their most recent transcript showing the GPA?(Required)

Yes

Add a driver: Additional Comments(Required)

Thank you for giving me all this information. I will get working on having this change made and get them added as a driver!

Remove a driver: Is this a quote only request?(Required)

Yes

Remove a driver: Who are you trying to remove?(Required)

Remove a driver: Why are you removing them?(Required)

Death

Moved out of the house

Separation/Divorce

Exclusion

Other

Remove a driver: Did they get coverage elsewhere?(Required)

Yes

N/A

Remove a driver: New address is no longer in the household(Required)

Remove a driver: Additional Comments(Required)

Thank you for giving me all this information. I will get working on having this change made and touch base if I need anything else

Why are you looking to cancel?(Required)

Price

Vehicle Sold

Home Sold

Moved

Married

Other

Can we reshop some options for you and touch base in about 30 minutes?(Required)

Yes

Who did you switch to?(Required)

How much is your new rate?(Required)

Cancelling: New Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

IF MOVED IN ONE OF OUR STATES: Can I put together a quote for you?(Required)

Yes

N/A Not in one of our states

When did you sell the car?(Required)

MM slash DD slash YYYY

Did you return the tags to the MVA (required in MD)?(Required)

Yes

N/A

What date did you return the tags?(Required)

MM slash DD slash YYYY

Do you plan on getting another vehicle soon?(Required)

Yes

Talk them through the benefits of keeping the policy active. We can look at a name non owner policy.

What date are you looking to cancel?(Required)

MM slash DD slash YYYY

When did you sell the home?(Required)

MM slash DD slash YYYY

What is your new address?(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Cancelled Notes(Required)

Let them know that you will begin the process. There will be a form that needs signed that will come over by email to them. THE CANCELLATION IS NOT PROCESSED UNTIL THE FORM IS SIGNED. ONCE SIGNED THEY WILL GET A EMAIL CONFIRMING.

ID Card Request/Dec Page Request: What proof are you looking for?(Required)

ID Card

Declaration Page

Other

ID Card Request/Dec Page Request: Is this for you or someone else (bank, mortgagee)?(Required)

For insured

For bank/mortgagee

ID Card Request/Dec Page Request: Do they need us to send it to them? Or just to you?(Required)

Send to insured only

Send to insured and bank

Send to bank only

ID Card Request/Dec Page Request: Where does it need sent to? Email? Fax?(Required)

ID Card Request/Dec Page request: Additional Comments(Required)

Thank you for giving me all this information. I will get working on having this put together and will send you what you requested in a few minutes!

Coverage change: What are you looking to change?(Required)

Coverage change: Additional Comments(Required)

Thank you for giving me all this information. I will get working on having this change made!

Request for remarket: What has you interested in being requoted?(Required)

Request for remarket: Confirm information that we have on file. See if anything has changed and type it in here:(Required)

Request for remarket: Notes(Required)

Thank you for giving me all this information. I will get working on having this worked and your agent will be in touch shortly!

Mortgagee/Lienholder Change: What do you need?(Required)

Lienholder change

Lienholder removal

Mortgagee Change

Mortgagee Removal

Other

What is the date of this change?(Required)

MM slash DD slash YYYY

Mortgagee/Lienholder Change: What vehicle does this need changed on?(Required)

Mortgagee/Lienholder Change: Name of the new lienholder? Address too if they gave you one(Required)

Mortgagee/Lienholder Change: Are you replacing the current mortgage, or is this a second mortgage/HELOC?(Required)

Replacing existing mortgage company

Adding another mortgage on home

Other

Mortgagee/Lienholder Change: Name of new mortgagee company(Required)

Mortgagee/Lienholder Change: Loan number(Required)

Mortgagee/Lienholder Change: Will the new mortgage company still have insurance escrowed?(Required)

Yes

Mortgagee/Lienholder Change: Are they requiring proof to be sent?(Required)

Yes

Mortgagee/Lienholder Change: Where do you want proof sent? Email or Fax?(Required)

Fax

Other

Mortgagee/Lienholder Change: Fax Number(Required)

Mortgagee/Lienholder Change: Email(Required)

Mortgagee/Lienholder Change: Additional Comments(Required)

Thank you for giving me all this information. I will get working on having this change made in the next few minutes and will send over the proof!

Payment Question: What is your question?(Required)

COI: Who is the certification for?(Required)

COI: What address did they want for the COI?(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

COI: Who do you want this sent to?(Required)

Insured

COI holder

Other

COI: How do you want it sent?(Required)

Fax

Other

COI: Email or Fax number(Required)

COI: Additional Information(Required)

If they have certain request for the COI put that here.

FR19: What vehicle is this for?(Required)

FR19: Do you have the case number?(Required)

Yes

FR19: What is the case number?(Required)

FR19: What is the insurance verification date?(Required)

MM slash DD slash YYYY

Should be on the paper they got from the MVA

FR19: Additional Comments(Required)

Thank you for giving me all this information. I will get working on having this updated with the MVA and will be in touch!

Make a payment: GO TO CARRIER SITE TO PROCESS. Are you interested in seeing if we can get you on automatic payments?(Required)

Yes, interested in automatic payments

No, not interested in auto pay

N/A

Make a payment: Additional Comments(Required)

Payment Method Change: What policy are you looking to change?(Required)

Due date

Payment Method (Change card, EFT Info, etc.)

Other

Payment Method Change: What day are you trying to change your payment to?(Required)

Not every carrier will allow you to change the due date when on automatic payments. We will have to look at this and see if it is possible.

Payment Method Change: What is the new payment information?(Required)

Payment Method Change: Additional Comments(Required)

Thank you for giving me all this information. I will get working on having this change made in the next few minutes and will let you know if anything else is needed!

Is this for a new claim or existing?(Required)

New Claim

Existing

Is everyone OK? Are there any injuries?(Required)

Everyone is ok, no injuries

Everyone is ok, minor injuries, no one went to hospital

Injuries involved

N/A (Roadside Assistance)

What was the claim on?(Required)

Auto

Homeowners

Renters

Toy (Motorcycle, RV, Boat, etc.)

Other

What happened with the auto claim?(Required)

Collision (Someone Hit Them)

Collision (They hit someone)

Comprehensive (Hit a deer, tree fell on car, etc.)

Car Stolen

Car hit while parked (on street, parking lot, etc.)

Roadside Assistance

Glass Only Claim

What happened with the Home/Renters Claim?(Required)

Fire

Theft

Water leak

Animal Bite

Other

Did you get a police report?(Required)

Yes

What happened with the accident/Additional Details?(Required)

Let them tell you about what happened with the accident. DO NOT PROMISE COVERAGE! If they seem to be at fault, give them claims phone number. If they seem to be not at fault, let them know they can choose to file a claim under their own insurance (if they have coverage), or attempt to file under the at fault parties insurance.

Claims Service: What help do you need with your claim?(Required)

Let them talk. Figure out what the problem is. Once we know what needs done, and how we can help, tell them you are going to look into this and work to get some answers for them.

Carrier Request: Additional Details(Required)

Please complete the form below for a quote.

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What would you like a quote for? Check all that apply:*

Auto

Home/Condo

Renters

Umbrella

Commercial Insurance

Other

Primary Policyholder Name*

First Last

Business Name*

Your Phone Number*

Your Email*

How did you find our agency?*

Google Search

Facebook

Postcard

Customer Referral

Auto Dealership

Other

Who referred you to us?*

Current Insurance Provider*

Questions or comments?

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Are you ready to save time, aggravation, and money? The team at Younger Insurance Agency is here and ready to make the process as painless as possible. We look forward to meeting you!

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