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Policy Change Request

The following form is provided to you for making changes or requests on your existing policies. By submitting this form you understand that no coverage or premium adjustment of any kind is bound until you receive written notice from us.

Policy Change Request

* indicates required fields

General Information

Name*

Company Name (If For a Business)

Email*

Phone*

Current Insurance Information

Insurance Company Name

Policy Number

Policy Expiration Date

Date You Would Like Changes to Take Effect

Describe Requested Changes

This field is for validation purposes and should be left unchanged.

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Customer Reviews

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Good people

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Great!

Debbie W

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Rick and his staff are very nice and will treat you well!!

Sean W

Bedford Office

Rand Insurance Agency
116 Church St
Bedford, Kentucky 40006

Phone: (502) 255-3286

Office Hours:
- Mon-Fri: 8:30am-5:00pm
- Sat-Sun: Closed
Evenings and Weekends by Appointment Only

Carrollton Office

Rand Insurance Agency
1209 Highland Ave
Suite D
Carrollton, Kentucky 41008

Phone: (502) 732-5560

Office Hours:
- Mon-Fri: 8:30am-5:00pm
- Sat-Sun: Closed
Evenings and Weekends by Appointment Only

Insurance

Policy Service

Rand Insurance Agency provides auto, home, life, business, and farm insurance to all of Kentucky, including Carrollton, Bedford, Milton, Warsaw, LaGrange, New Castle, and Owenton.