To make it easier for you to request changes to your policy or contract, we have made the most common forms available online.
Please follow the instructions below:
1. Select the type of service you need:
(Viewing and downloading forms requires the Adobe Acrobat Reader. Click here or use the link below to download the free reader from Adobe’s web site.)
2. Print the form. PLEASE PUT A CHECK IN THE BOX INDICATING THE APPROPRIATE REQUEST
3. Fill out the form completely.
4. Sign the form.
5. Have a witness or doctor sign the form, if applicable.
6. Mail the signed form to:
Attn: Customer Service Roger Menard Insurance PO Box 789
Greenville SC 29602-0789
Call (800) 551-8354 or email Customer Service .
Click here to download the FREE Adobe Acrobat Reader to view the PDF