How can we help?

How can we help?

Simply select the type of service you are looking for, fill in the required fields, and submit the form.
Effective Date of Change*

MonthDayYear
MM-DD-YYYY
Insured Name:*
If owner operator, enter full name. Enter policyholder's (insured's) name, policyhodler must have an active policy with Absolute Insurance Solutions Inc. Example: ABC Trucking Company LLC.
Contact Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
PLEASE CHOOSE ALL THAT APPLY:*

Vehicle ChangesDriver ChangesCertificate RequestUIIA RequestOther Changes
Driver Changes
Vehicle Changes
*Physical Damage for Vehicles - Please Read*

For physical damage, please make sure to add the value ($) of the vehicle. If the value box is empty, it will be assumed that no physical damage is required for the vehicle and physical damage will not be added.

If you check physical damage coverage and add the value, but you don't have an active physical damage policy with us, no physical damage will be added.
Certificate Request
UIIA Request
Other Changes (e.g., Policy Limits, Address Update, Contact Information Updates, etc.)*
Upload Files Below

Example: CDL, MVR, Termination Agreements, Bills of Sale, MCS-150, Address change confirmations, etc.
Cancelof
Please Note:
- Vehicle Removal: Upload signed termination forms - Sample Vehicle Termination
- Driver Addition: Upload CDL copies (current and previous) and MVR, if available.
- Additional Insureds: Upload signed contracts with requirements.
- UIIA: Upload Equipment Providers Checklist - Click Here for Blank Form
- Other Changes: Upload supporting documents if applicable.
Please Note:
- Changes requested after 6 PM, on weekends, or holidays will be processed on the next business day.
- Vehicle removal requires a signed termination agreement. Click here for a sample agreement.
- This is a request, not a confirmation of change or coverage. All requests are subject to underwriting guidelines and approval. No coverage is bound until confirmed in writing by your insurance carrier.
- Endorsements or special wording may require additional processing time or fees. Vehicles may not be removed without a signed termination agreement or bill of sale.
- For MVRs and personal records, a signed release form for each employee must be kept on file by the employer.
- If payment is not received, requests may be voided and reissued only upon payment.
- You confirm you are the policyholder or an authorized representative.
- Click here to return to the main website.
- By signing, I agree to the terms and conditions above.
Sign Below*
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