Request a Policy Change

• G M Peters Agency, Inc.
• 11 N. Water Street
• Liberty, Missouri 64068
• Phone: 816-781-4922
• Fax: 816-781-8050

You can request a change or update to your policy coverage by completing and submitting the change request form, call our office at 816-781-4922, fax your request to 816-781-8050 or e-mail the request directly to your Licensed Service Representative.

Please note that coverage changes are not in force until confirmation is received from the insurance company.

Your Name:

Your Company Name:

Your Email Address:

Your Phone Number:

Your Location: (City, State)

Your Policy Changes:

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