Add New Vehicle to Insurance

1Contact

2Vehicle

Entity Information
A field marked with a red asterisk is required.
Entity name*
Enter church, school or area of ministry full name.
Mailing address*
Address line 1 Address line 2 City State Zip code
Contact Information
Contact name*
First Last
Position*
Phone number*
E-mail*
Enter e-mail Confirm e-mail

Vehicle Information
Vehicle type*
- Automobile
- Bus
- Trailer
Year*
Make*
Model*
Value*
Vehicle identification number (VIN)*
Enter 17-digit code of letters and numbers without any spaces.
Re-enter VIN*
Confirm by re-entering the 17-digit code of letters and numbers without any spaces.
Garaging location*
Address where the vehicle is kept.

Same as entity mailing address.

Address line 1 Address line 2 City State Zip code
Lienholder/Leaseholder Information
Is there a lienholder/leaseholder on this vehicle?*
- Yes
- No
Lienholder/Leaseholder name*
First Last
Address*
Address line 1 Address line 2 City State Zip code
Additional comments
Data Privacy & Permission*
I AGREE with the terms of the WELS Privacy Policy.
NOTE TO EU CITIZENS, RESIDENTS, TOURISTS, AND OTHER PERSONS TEMPORARILY IN THE EU:

By submitting this form you consent to any and all information you provide and submit via the site being sent to the United States of America. The United States has not sought nor received a finding of “adequacy” from the European Union under Article 45 of the GDPR. WELS relies on derogations for specific situations as set forth in Article 49 of the GDPR. You are also informed that the United States presently does not have an adequate level of personal data protection as determined by the European Commission’s adequacy decision on October 6, 2015 (case c-362/14) and articulated in the European Union’s General Data Protection Regulation and has not received a similar designation of adequacy by any other foreign data protection authority. You agree to the transfer of your data and personal data to the United States, however, to be used in accordance with WELS Privacy Policy.
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WELS Risk Management: [email protected] or 414-256-3260 | Privacy policy
Ref: Add New Vehicle to Insurance