Add / Remove a Vehicle Form Policy Holder InformationName* First Last Business Name Street* City* Zip / Postal Code* Phone Number*E-Mail Address* Add or Remove a Vehicle Information* Add a Vehicle - Vehicle Information Remove a Vehicle - Vehicle Information Add a Vehicle - Vehicle Information Effective Date of Change* MM slash DD slash YYYY Year* Make* Model Vehicle VIN#* Does Vehicle have Loan or Lease*NoLoan / FinancedLeaseBank/Finance or Lease InformationName on Vehicle Title* Primary driver of vehicle* How many miles to you drive one way to work? (Approximately) Coverage Options*Liability Only Coverage (No Physical Damage)Liability & Comprehensive CoverageLiability & Full Cov'g (Comp & Collision)Comprehensive Deductible:25050010002500Collision Deductible:2505001000TowingYesNoRentalYesNoDISCLAIMER: Any changes/requests/quotes expressed over the internet can only be honored after RMH Insurance has acknowledged the receipt of the change and after underwriting approval. Changes expressed in emails or messages are not bound automatically. All new policies and changes are subject to verification and underwriting approval. Customer Service hours at RMH Insurance are Monday-Friday 8:00 AM – 5:00 PM.Remove a Vehicle - Vehicle InformationEffective Date of Change* MM slash DD slash YYYY Vehicle 1 Year Model* Vehicle 1 Make* Vehicle 1 Model* Vehicle VIN# Reason for removing vehicle* DISCLAIMER: Any changes/requests/quotes expressed over the internet can only be honored after RMH Insurance has acknowledged the receipt of the change and after underwriting approval. Changes expressed in emails or messages are not bound automatically. All new policies and changes are subject to verification and underwriting approval. Customer Service hours at RMH Insurance are Monday-Friday 8:00 AM – 5:00 PM. RESOURCES Billing & Claims Certificate of Insurance Request Add/Remove Vehicle Add/Remove Driver Change of Address Refer A Friend Auto ID Card Request General FAQs