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Home » Service Center » Request Policy Change

Keeping your insurance up to date with your needs is important. Make a request for a policy change.

Request Policy Change With Patriotic Insurance Group

Need to change your insurance policy? Fill out the form below and we’ll be in touch.

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Name

First Name Last Name

Phone Number

Requested Date of Change

Month

Day

Year

Describe Your Change Request

Please do not include sensitive, private information in this area.

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

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Our Chester, NY Office

78 Brookside Avenue, Suite 132B
Chester, NY 10918

Our Inlet, NY Office

159 NY-28,
Inlet, NY 13360

Visit Our Chester, NY Office

Experience the Value of an Independent Agency

At Patriotic Insurance Group, our mission is to provide clients with insurance value that suits their needs and to maintain the highest ethical standards and integrity with our clients, carriers, and the community.

We are licensed in CO, CT, NJ, NY, PA, and VA.