BILLING STATEMENT DELIVERY

BILLING STATEMENT DELIVERY
Named Insured
Account Number
Example: 458698
Contact Name

First NameLast Name
Contact Phone Number

Area CodePhone Number
Email
example@example.com
Statement Preference
Please consider switching to paperless statments to help ICC be more environmentally friendly!
Thank you for opting into emailed statements! By choosing a paperless option, you are allowing ICC to reduce paper usage and help the environment.

As an added benefit, ICC will be donating one tree on your behalf!
ACH Payments
Thank you for choosing to sign up for ACH payments! We will send you a form to the email address listed above with the proper information soon.
How did you hear about this form?

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