7400 University Ave., Suite A
Clive, IA 50325
 

To contact us call:
515-279-2722

Commonly Used Forms

Here are some commonly used forms for your convenience.


Allied– Flex Check Agreement

Tired of writing checks each month and having the hassle of finding stamps? Then just fill out this form for automatic monthly deductions.

Allied– Good Student Form

Does your child do well in school? If so, fill out this form or send in a copy of a Grade Report with a GPA of 3.0 or better and receive money saving discounts to your Allied auto policy.

Progressive– Agent of Record Change

Keep your policy exactly the same but have us be the agent that serves you. We have a long standing relationship with Progressive based on both companies customer focus.

Progressive– Driver Exclusion Form

Is there a driver in your household that doesn’t use your vehicles but will increase your rate if on the policy, then simply fill out this form to exclude them from coverage and rating.

Progressive– EFT Authorization

No more writing checks! Fill this form out to have Progressive automatically pull your premiums directly out of your checking account.