Skip to main content
#
Lehman Insurance Agency
About Us
Carriers Represented
Home
Get A FREE Quote
Automobile
Boat
Condominium
Flood
Homeowners
Manufactured Homes
Motorcycle
Motorhome
Renters
Umbrella
Personal Insurance
Business Owners Policy
Workers Compensation
Property & Liability
Specialty Liability
Commercial Vehicles
Miscellaneous Commercial Insurance
Business Insurance
Life
-- Term Life Insurance
-- Permanent Life Insurance
Long Term Care
Financial Services
Make A Payment
Claims
Customer Service
Contact Us
 Replace a Vehicle 
Replace A Vehicle on Exisitng Policy

Contact Information
Current Auto Policy Number:
Name on Policy:
Your Name:
Email Address:
Daytime Telephone Number:
Vehicle Being Replaced
Old Vehicle Make:
Old Vehicle Model:
Old Vehicle Year:
NEW VEHICLE INFORMATION
Effective Date of Policy Change:
(mm/dd/year)
VIN #:
Year of New Vehicle:
Make of New Vehicle:
Model of New Vehicle:
Is this a purchase or lease:
Purchase
Lease
Body Type of New Vehicle:
Title Holder/Registered Owner:
Name of Principal Driver:
Principal Driver's Relationship to Named Insured:
Occasional Driver/Operator:
Purchase Price:
Lien Holder/Loss Payee Name:
Lien Holder Address:
Garage Address:
New Vehicle Desired Coverages
Vehicle Useage:
(describe)
Miles to work (one way):
Deductibles:
Comprehensive
Collision
Anti-Lock Brakes:
Car Alarm:
Air Bags:
Rental Coverage:
Towing Coverage:
Additional Comments:

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.

Manage Your Policy 
Auto ID Cards
Change of Address
Change of Name
Certificate of Insurance

Visit our online customer service center here.

Site Mailing List 

© Lehman Insurance Agency, 2007 Powered By: Insurance Web Designs