#
M.A. Hays Co. Celebrating 106 Years
home
service & claims
payments
contact
site map
  
Cyber Liability
About Us
Get A Quote
Personal Insurance
Business Insurance
Other Products
Service & Claims
Insurance Resources
Contact Us
Get Social With Us! 

Manage My Policy 
 Change of Name 
Existing Policy: Change of Name

Contact Information
Your Full Name:
(as listed on policy now)
Your Email Address:
Daytime Telephone Number:
Policy Number:
Change Request
Your FORMER Name:
Your NEW Name:
Reason for Name Change:
Additional Comments:
Questions:

By submitting this form you understand that no coverage is bound until you receive written notice. Changes to policies via this website are not effective or binding until you, or any party involved, receive official notification from your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

© M.A. Hays Co., 2011   webmail login
Unauthorized duplication or publication of any materials from this site is expressly prohibited.



Easy Online Site Builder