Contact & Customer Service Form Name* First Last Email* Phone*Which Location Would You Like To Reach?* Canyon Lands Insurance Corporate - Tempe, AZ Dawnyel Smink – Canyon Lands Insurance, Tempe, AZ John Kovach -Kovach Insurance Services, Anthem, AZ Bryce Hamblin -Arizona's Choice Insurance LLC, Eagar, AZ Mike Dale -Valley Insurance Group, Gilbert, AZ Eric Newendorp -D & E Insurance, Glendale, AZ Ian Grandidge -Grandidge-Group Insurance, Glendale, AZ James Rogers -Ask Insurance, Mesa, AZ Lareme Fessler -Canyon Lands Insurance, Mesa, AZ Jeff Donalds -CLI Select, Mesa, AZ Andrew Lee -Lexington Insurance Services, Mesa, AZ John Stanton -Red Mountain View Insurance, Mesa, AZ Edward Valdez -Synchrony Multiservices Agency, LLC, Mesa, AZ Sid Pfaff -TAG Insurance & Financial Services, Mesa, AZ Jake Salmon -Upstream Insurance Group, Mesa, AZ Sadie Hyde -Hyde Group Wealth Management and Insurance Solutions, Oro Valley, AZ Don Soss -Soss & Associates, Inc., Oro Valley, AZ Dallas Cypher -Statz Insurance Services, Peoria, AZ David DeLorenzo -Ambassador Group, Phoenix, AZ Sean O'Keefe -Custom Contractors Insurance LLC, PHoenix, az Adam Dzwonkoski -Devy Insurance Services, Phoenix, AZ Paul Houston -Houston - Taylor Group, Phoenix, AZ Alexander Kandov -Kandov Insurance, Phoenix, AZ Christian Huth -Meadowbrook Insurance, Phoenix, AZ Nick Barten -Pro Financial, Phoenix, AZ Ruth Flintoft -Ruth Flintoft Insurance, Phoenix, AZ Drew Cottrell -Upside Insurance, Phoenix, AZ Derek Kartchner -Gila Insurance Group, Safford, AZ Amber Swete -CLI Select, San Tan Valley, AZ Helen Vouniozos -CorePath Risk solutions, Scottsdale, AZ Michelle Fallen -Granite Reef Insurance, Scottsdale, AZ Jason Fial -Jason Fial Insurance Agency, Scottsdale, AZ Kristin Edwards -Van Leer& Edwards Services, Inc., Scottsdale, AZ Christy Wyman -Community Agency Partners, LLC, Tucson, AZ Meg Healy -Dream Big Insurance, Tucson, AZ Jerry Ledesma -Jerrold Ledesma Insurance, Tucson, AZ Valerie Mares -Wildcat Insurance, Tucson, AZ Ryan Evans -Wayfinder Insurance, Conway, AR Martin Staebell -Staebell Insurance Group, Inc., Golden, CO Jared Ullrich -Ullrich Insurance Agency, Arvada, CO Mareia Richardson -Mareia Richardson Agency, Inc., Carrollton, GA Ken Weikum -The Weikum Group, Marietta, GA Tyler Slade -CLI Select, Rigby, ID Vytautas Skapcevicius -Goodwill Financial, Elmhurst, IL Caden Gilliland -Hubbard Insurance Group, Chicago, IL Adam Czerwinski -Sidebar Insurance, Orland Park, IL Russ Wolf -Wolf & Associates, Helena, MT Ana Martinez -KCM Insurance Agency, LLC, Omaha, NE Amy Maloy -CLI Select, Albuquerque, NM Edward Ortega -Primary Insurance Services, Bosque Farms, NM Clair Strong -Strong Insurance Agency, Tucumcari, NM Jim Stout -Eagle National Insurance Group, Inc., Tulsa, OK Zach Bogle -Murray Insurance Services, Gold Beach, OR E. Paul Schaefer -Palmetto Alternative Risk, LLC, Ballentine, SC Lindsey Collins -Clear Insurance Services, Rockwall, TX Michael Franke -Franke Insurance Services, Castroville, TX David Lance -Health Guys Inc, Fort Worth, TX Ryan Gruner -Olive Branch Brokerage, LLC, Helotes, TX Joe Stepanski -Ownership Insurance LLC, Waco, TX Ray Hodgson -Ram Insurance, Weatherford, TX David Call -Ryan Everet Insurance, Denton, TX Alan Rhea -Texas Grand Insurance Agency, McGregor, TX Hunter Miller -Worth Insurance Agency, Fort Worth, TX John Kotalik -Key Harbor Insurance, Everett, WA Chris Anderson -Anderson Insurance, Cheyenne, WY Are you a current client of our agency?* Yes No Which policy(s) do you need help with?* Please enter your policy number(s) if availableWhat is the nature of your inquiry?* General Question ID Card Request Policy Change Request Discuss A Claim Certificate of Insurance Request What date do you need this policy change to take effect?* DD slash MM slash YYYY Which vehicle do you need an ID card for (please enter year, make, and model)?* If you have the VIN, please enter it herePlease list the Additional Insured and/or Certificate Holder Additional Insured and/or Certificate Holder Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Details regarding your question, policy change, claim or other request:*
