Tools BSRO Changes

Submit a Change
Please fill out these fields completely. All fields are required. Please DO NOT use this page for cancellation.

If you need to cancel your tool insurance, please contact the AssuredPartners by calling (800) 860-0090. If you cancel your tool insurance, your tools will no longer be covered in the event of theft, flood, or fire.
Employee Information

Please tell us about yourself and what store you work for.
First Name
Last Name
Employee ID
Your Email Address
Store Name
Store Phone Number
Format: (000) 000-0000.
Store Address
Street Address
City
State
Zip Code
Change Information
Changes that need to be made (list all items valued over $1,000)
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Submit a Change