Kentucky Growers Insurance Company

<% if Request.Cookies("agentIsLoggedInAs") = "" then Server.Transfer("accessDenied.asp") end if Dim strDownloadMsg,objConn,objRS,strSQL strSQL = "SELECT Downloads FROM Agents WHERE Agent_ID = " & CInt(Request.Cookies("Agent_ID")) Set objRS = GetRecordset(strSQL,True,False) If Not objRS.EOF Then If objRS(0) <> "" Then strDownloadMsg = "You have updates waiting for download!" End If End If objRS.Close %> Kentucky Growers Insurance Company | Policy Change

Request a Policy Change

Please fill in the form below to request a change to your policy.

Insured Name
Policy Number
Agent Name
Email Address
Effective Date of Change

Remarks or special instructions pertaining to any of the above:
This form is not to be used to transfer an insurance policy from one person to another nor to transfer a policy currently in force to another property location. A new application is required to accomplish either of these transactions. Contact must be made with your agent for this type of transaction.
Disclaimer: The change requested will not be effective until approved by underwriting. You will receive a new declaration page noting the change once approval has been granted. If you need coverage bound immediately, contact should be made directly with your agent. We will notify the agent of changes requesting an increase in coverage to obtain the proper photos and other information that may be necessary to evaluate and process this request. Please click here to submit any photos or documents with your change request.
I hereby certify that I have the authority to make this request by being the insured or a representative of the insured.