Auto Accident Benefits
Confirmation Form
What options are available?
(PDF File)
After reading the PDF file above
regarding the available coverage's and benefits
please open the PDF form below, make your selections, print the form, sign
it and
either fax it to 519-245-4298 or scan and email it to
info@kovacsinsure.com
Accident Benefits Confirmation Form
Thank You !
JOSEPH KOVACS INSURANCE LIMITED
48 Front St. E., P.O. Box 7 Strathroy, Ontario N7G 3J
