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IOA Quick Facts

  • Florida’s Largest Privately Owned Insurance Agency
  • The Nation’s 8th Largest Privately Owned Agency – Insurance Journal
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    "Service My Insurance"
    Account Request Form
    One Simple Form - takes only 2-3 Minutes!


    Your Personal Data

    Your Name
    Street Address:
    City:
    State:
    Zip/Postal:
    E-Mail (REQUIRED):
    Phone (REQUIRED):
    Fax: (Optional)
     
    Policy & Service Details
     
    Your Policy Number:
     
     
    What do You Need? Policy change
    Insurance Certificate
    Claim Assistance
    Other
     
     
    Describe Your Service Need in DETAIL:

    (If you need a certificate of insurance, list name and complete address of certificateholder here.)

     
    Please contact me for service via: Fax E-Mail
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    Thank you for filling out this form COMPLETELY!

    We deem your data submitted as PRIVATE information. Every step has been taken to insure your privacy, security, and to release this information only to you. By checking the box below you agree to allow our agency to release this information via the method you have chosen, and to release them from any liability should this information be accidentally viewed by others. Also, the insurance carriers reserve the right to issue coverage or not, and we cannot guarantee acceptance of a risk until approved by the company.

    Yes, Please Service My Account. I Understand that NO COVERAGE IS BOUND on insurance changes until confirmed IN WRITING BY OUR AGENCY.

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    Florida Commercial Insurance (An Affiliate of Insurance Office of America)
    4915 West Cypress Street | Tampa, FL 33607 | Phone: 813-262-2303 | Fax: 813-637-8484
    Email: bruce.johnson@ioausa.com | Florida Insurance License #: A132126