FR-19 Request Form

If you have received and FR-19 request, please email or fax the MVA Insurance Verification Form to or 301-934-1120. Please remember to include a telephone number or email address where we can contact you with questions.

We are here to provide you with the highest level of customer service to ensure your needs are handled correctly and quickly. Our online support center and our customer service representatives are here to help you through any changes you may need in your policy.

Thank you!