To submit a request, you are required to provide your State of Residency, First Name, Last Name and VIN (Vehicle Identification Number). The information that you provide will only be used by Verifacto to verify your identity. We may not be able to comply with your request if we are unable to confirm your identity or to connect the information you submit in your request with personal information in our possession.

 

If you have questions regarding this form, please contact us at privacy@verisurance.com.

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