"We Go Above And Beyond To Give You The Best Service & Rate In Town"

For All Your Insurance Needs

Please, take a moment to look around and call us if you have any questions or would like to set up an appointment.

Auto Policy Change Request
Property Loss Notice
Auto Insurance ID Card Request Automobile Loss Notice
Renewal Notice Reminder

Click here to request one
of the above changes.

Licensed & Bonded
Lic # 0D44460

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Serving California

Authorized broker for Viking Insurance, Infinity, DriveInsurance from Progressive, AIG, and Bristol West.

Proud member of American Agents Alliance.

Galaxy Insurance Service Inc
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Client Services

I understand that my coverage (or changes in coverage) ARE NOT binding via this on-line request; Changes ARE considered binding when I receive an email (or fax) response from my agent indicating that they have received my request.
E-mail:
Bold = Required field
I have read and agree with the above
(Box must be checked before request can be sent)
Name Insured:
Phone Number:
Effective Date of Change:
Renewal Notice Reminder
Automobile Loss Notice
Auto Insurance ID Card Request
Property Loss Notice
Auto Policy Change Request
Please Choose a Request Type:
Comments/Questions

Policy Holder Information:

We've included a library of helpful forms. These email tools allow our clients to communicate with our office when it's convenient with them.

Now we can handle many of your most frequent client service requests on-line. This can save you a trip to our office, and you are no longer limited by our standard office hours.

On the web, we are open 24 hours a day 7 days a week. You can submit a policy change, file a loss report, and much more. Simply choose an email form from the adjacent navigation menu. Enter as much information as possible, and our office will respond promptly to your request.

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