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Thoroughbred Associates, Inc
"Professional Insurance Protection"


Located in Middletown, Ky. Thoroughbred Associates Inc. has serviced the insurance needs of businesses and residents in the Louisville, Ky. area since 1975. We represent competivite companies and have a staff of 12 licensed agents to give your policy the attention it deserves.

  • REQUEST INSURANCE CERTIFICATE
  • REQUEST PROOF OF INSURANCE
  • MAKE A POLICY PAYMENT
  • REPORT A CLAIM/CARRIER CLAIM #'s

  •  
    Please Add/Delete Vehicle
    From Our Commercial
    Auto Insurance Per Below:
    One Simple Form - takes only 2-3 Minutes!


    Your Personal Data

    Your Name (First, Last)
     
    Business Name
     
    E-Mail (REQUIRED):
     
    E-Mail (again to verify accuracy):
     
    Phone (REQUIRED):
     
    Your Policy Number: (REQUIRED)
     
    Vehicle Details
     
     
    Effective Date of Change:
     
    Are You Adding, Replacing, or Deleting Vehicle? Adding Vehicle
    Replacing Vehicle
    Deleting Vehicle
     
    Year, Make, Model of Vehicle
    You Are Adding:
    Year: Make:
    Model:
     
    (Year, Make, Model You
    Are Removing, if any):
     
    New Vehicle's Identification #:
     
    New Vehicle's Gross Vehicle Weight:
     
    New Vehicle's Cost New
    (if used, current value):
    $
     
    New Vehicle's Radius of operations: Miles
     
    New Vehicle's Primary Driver Will Be:
     
    New Vehicle's Primary Titleholder is:
     
    Answer yes or no:
    Antilock brakes? Yes    No
     
    Vehicle Alarm? Yes    No
     
    Air Bags? Yes    No
     
    Do You want Collision coverage? Yes    No
    If yes, list desired deductible: Deductible
     
    Do You want Comprehensive (other than collision) coverage? Yes    No
    If yes, list desired deductible: Deductible
     
    Do You want Rental coverage? Yes    No
     
    Do You want Lease or loan coverage? Yes    No
     
    Is there a loss payee, lease company, or bank loan on this car? Yes     No
     
    If yes, list bank's name, address, and loan number here:
     
    Is the garaging address for this vehicle the same as your current business address? (if not, list garaging address in remarks below) Yes     No
     
    Any comments or special instructions?
     
    If we need further information, how should we contact you? Fax E-Mail
    Regular Mail
    Please Call Me!


    Thank you for filling out this form COMPLETELY!

    We deem your data submitted as PRIVATE information. Every step has been taken to insure your privacy, security, and to release this information only to you. By checking the box below you agree to allow our agency to release this information via the method you have chosen, and to release them from any liability should this information be accidentally viewed by others. Also, the insurance carriers reserve the right to issue coverage or not, and we cannot guarantee acceptance of a risk until approved by the company.

    Yes, Please Make the Vehicle Changes above. I understand that none of the changes requested are in force until written confirmation is received from Thoroughbred Associates.

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