Update Your Policy:

Thank you for your interest in Legere Insurance Agency.
Please enter the following information so we can respond to your request quickly and efficiently. Fields followed by an asterisk(*) are required information.
Note: We are licensed to sell insurance only in Massachusetts.

Insured Information:

Name on Account: *
Account or Policy No.: *
Type of Account: *		-- Select One -- Auto Home/Renters/Condo Business
Other:
Address: *
City: *
State: *
Zip Code: *
Email Address: *
Phone: *		Home    Business    Cell

Best way to contact you: *

Email: or Phone:   Time: Choose Time Mornings Afternoons Early Evenings

Enter today's date or a future date you want these changes to apply: *

Describe in detail the change request being submitted :  *

This email request for coverage change does not constitute a binding of insurance coverage. You will be contacted either by telephone or email to confirm the effective date of the coverage change or addition.