Schoenhof Insurance Services

1202 Grant Ave, Ste E
Novato, CA 94945
(415) 895-1926 Phone
(415) 895-1928 Fax
CA Lic# 0738595
AZ Lic# 1036273

Change of Loss Payee (Lender/Mortgagee)

Change of Loss Payee can only be issued for existing policies. Depending on your type of policy, some requests may require further correspondence from us. No coverage is bound using this form, until confirmed by us.

Contact Information:

*Contact person name:

*Your email address:

Your policy number:

Confirm Email:

Name on policy:

*Contact phone number:

*Effective date of change:

Loss Payee/Lender/Mortgagee/Lessor Information: (If adding a Loss Payee, please complete all fields.)

*Add Delete If deleting, list reason why:

Loss Payee/Mortgagee/Lender
or Lessor - Name & Address:

*Property Address or Vehicle or Property
to which this applies:

Loan Number: This is a:

Remarks:

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