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Change Request Form

Make changes to your existing insurance policies with the PCALIC QUICK CHANGE FORM below. Any change in ownership will require speaking to a representative of PCALIC and may not be completed by using the QUICK CHANGE FORM.

ADD OR CHANGE A LOCATION
Address of premises to be removed
Address of premises to be added
New Building Exposures
double click to edit
New Building Use
Adding or deleting a mortgage to a building

No change is effective or confirmed until you have received evidence of insurance acknowledging the change. If you do not receive evidence of insurance acknowledging this change, please contact your representative at PCALIC at 800-673-2558 to make the change and obtain evidence of insurance acknowledging the change.

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