Dooley Dereemer Orr Agency Inc. - Home, Auto, Life and Business Insurance in New York

Other Changes to My Auto Policy

Submitting information on this web-site does not bind coverage or acknowledge receipt. You must receive a written or e-mailed confirmation from us to acknowledge or bind coverage.

Delete A Car: In order for us to delete a car, New York State Law requires you to surrender your license plates. You must then send the receipt to us.

What is your name?

Email Address?

Please Change my Deductibles:
Optional deductibles for Comprehensive and Collision are $500 and $1000. Please contact us for higher deductible options.

On which cars would you like the deductibles changed?
Year Make
Year Make

New deductibles:
Comprehensive

Collision

Would you like Full Glass coverage? Yes No
(Full Glass is not available with all deductibles)

Delete the Lienholder or Loss Payee on the following Car(s):
(Loan or lease must be satisfied with the finance company)
Year Make
Year Make

Change the Use of My Car:
Distance to work also means the distance to other transportation, including the railroad station.

Which Car?
Year Make

The distance I drive is:
less than 3 miles to work, or I use the car only for pleasure.
less than 15 Miles to work.
15 or more miles to work.

I make this drive: (must be completed to change use).
3 or more days a week.
less than 3 days a week.

Defensive Driving Credit: If you have taken a Defensive Driving Course, please send the certificate to us in order to give credit.