Shuffain Insurance Agency | Change of Address Request

17 Pond Street
PO Box 546
Sharon, MA 02067

Phone:
Fax:
Email:

Change of Address Request

If you have moved recently, please provide us with your new address and contact information so we may update our records. Depending on the type of coverage you have, additional changes to your policy may be required. If needed, one of our customer service representatives will contact you.
Policy Number	(if you know it)
Effective Date of Change
Name
Company	(if applicable)
Street Address
Mailing Address	(if different)
City or Town
State
ZIP Code
Telephone Number
Email Address
Preferred Method of Contact
Additional Comments