Update your dealer policy Submit the forms below to update your policy dealers homepage make a payment For additional support, call us at 888-837-9537 (8:30am – 5:00pm ET, Monday – Friday). CIS Website: Dealer Policy Update Dealers Consignor's Loss Payable Lender's Loss Payable Mailing Address Named Insured Policy Limit of Insurance Protective Safeguards Scheduled Premises (Physical Location) Change Temporary Additional Away from Premises Coverage Temporary Additional Shipping/Mailing Coverage Types of Inventory USPS Mail Coverage Other First Name:(Required) Last Name:(Required) Business Name (if applicable): Policy Number:(Required) Phone:Email:(Required) Consignee's Name:(Required) Consignee's Street Address:(Required) Consignee's City:(Required) Consignee's State:(Required)---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingConsignee's ZIP Code:(Required) Coverage Amount:(Required) Type of Inventory:(Required)---GeneralGuns, Knives or Edged WeaponsStampsBooksIncidental Coins, Bullion or JewelryComments:Desired Effective Date:(Required) MM slash DD slash YYYY Bank Name:(Required) Bank's Street Address:(Required) Bank's City:(Required) Bank's State:(Required)---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingBank's ZIP Code:(Required) Coverage Amount:(Required) Comments:Street:(Required) City:(Required) State:(Required)---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZIP Code:(Required) Is this an additional location?(Required) Yes No If No, please indicate which address this is replacing that is currently scheduled on your policy:Address if "No" is selected Type of Structure:(Required)ApartmentOfficeBankPublic StorageOther*Type of Construction:(Required)FrameMasonrySteelOther*If Other*, please describe:If Other*, please describe:Year Built:(Required) If built before 1950, enter the date the electrical, heating, plumbing, and roof was last updated:Storage of Collectibles:Any collectibles stored in an immobile safe weighing at least 300lbs empty?(Required) Yes No Any collectibles stored in vault with 3-inch walls, no windows, and a metal door?(Required) Yes No If Yes, What is the construction of the vault?What type of lock does the safe and/or vault have? Combinatio Digital Key Who has access to the safe and/or vault?Other Securities: Central Station Alarm Smoke Alarm(s) Deadbolts Bars Other If Other, please describe:Describe where and how your collection is stored or displayed on your premises:(Required)Are any of the collectibles stored in a basement or other areas below the ground floor?(Required) Yes No If Yes, a Stillage Endorsement will be added to the policy requiring all items be stored 6" off of the floor.Are any of the collectibles stored outdoors exposed to the elements?(Required) Yes No If Yes, please describe:Comments:New First Name:(Required) New Last Name:(Required) New Business Name (if applicable): Reason for Name Change:(Required)Location Street:(Required) Location City:(Required) Location State:(Required)---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingLocation ZIP Code:(Required) Existing Policy Limit of Insurance: Requested Policy Limit of Insurance: Comments:Central Station Alarm: Add Remove Calls alarm company or police (location away from premises which is continually monitored)Safe: Add Remove Weighs at least 300 lbs. empty, no wheels, with a combination, digital or key lock.Vault: Add Remove Has 3-inch walls, no windows and metal doors.Location Street:(Required) Location City:(Required) Location State:(Required)---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingLocation ZIP Code: Comments:Away from Premises: Worldwide Domestic Coverage Amount, Including Excess Coverage:(Required) Reason for Being Away from the Premises:(Required)Travel Date From:(Required) MM slash DD slash YYYY Travel Date To:(Required) MM slash DD slash YYYY Travel From Location:(Required) Travel To Location:(Required) Comments:Coverage Amount, Including Excess Coverage:(Required) Shipment Date:(Required) MM slash DD slash YYYY Items Shipped:(Required)Shipping Carrier:Select a CarrierFedExUPSDHLUSPSShipping Method:(Required)---PriorityOvernight2nd DayGroundRegisteredExpressCity & State of Origin:(Required) City & State of Destination:(Required) Signature Required: Yes No Only Signature Required shipments will be eligible for Temporary Excess Coverage.Comments:Add/Remove Type of Inventory: Add Type of Inventory Remove Type of Inventory Type of Inventory:(Required) Comments:USPS Coverage: Add Coverage Remove Coverage $25,000 Limit for Signature Required Shipment (Registered or Express Mail) - Class 3; $2,000 Limit for Signature Required Shipment (Insured Mail, Certified Mail and Signature Confirmation Mail) - Class 5; $400 Limit for No Signature Required Shipment (Other Covered Mailings) - Class 6.Comments:Description of Change:Please note that no coverage will be bound and no changes made on any policy without a written "Confirmation of Insurance", Binder, Endorsement or Reinstatement from Collectibles Insurance Services. Coverage cannot be assumed if you do not receive one of the aforementioned notices.EmailThis field is for validation purposes and should be left unchanged. Δ
