254 Street Avenue, Los Angeles, LA 2415 US
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Service Request

Get An Agent Call Back

Be Insured In Minutes – No Office Visit Required!

Whatever your insurance needs, we're here to help! Fill out the short form below and one of our Dan Burghardt Insurance specialists will call you in a few minutes. (During business hours 9am - 5:30pm Monday through Friday or Saturdays from 9am - 1:30pm. After hours, please call our 24 hour help line at 504-441-7283.

    I understand that NO CHANGE to my policy or coverage are binding by submitting this online policy change request. This change request will only be considered bound upon confirmation from my Broker/Agent.

    Please check all boxes that apply:

    Change Of AddressAdd or Delete A DriverAdd or Delete A VehicleAdd or Delete CoveragesAdd or Delete a LienholderAdd or Delete A MortgageeRequest An ID CardRequest A Declaration PageRequest A Certificate Of InsuranceOther:

    Insurance Quote

    Get an IMMEDIATE call back from a licensed insurance agent...usually within a few minutes! (during normal business hours Monday - Friday 9am - 5:30pm - After hours, please call our 24 hour help desk at 504-441-7283)

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      Your information is never transferred to any third party. By submitting this form, you will get a call back from OUR OFFICE to finalize your insurance request.