Change Vehicle

    About You

    Name(s) of insured(s) *:

    How can we reach you?

    E-mail address:

    Daytime telephone #:

    Home telephone #:

    Fax #:

    Vehicle Information

    Vehicle make:

    Year:

    Model:

    Any non-factory modifications to the vehicle?

    Any unrepaired damage?

    If yes, please specify:

    Is vehicle leased or financed?

    If yes, specify:

    Name of registrant:

    Use of vehicle:

    Comments (details if use is other):

    Kilometres traveled per year:

    How many kilometers one-way for daily commute?

    Will replacing this vehicle result in changes in use of other vehicles owned?

    Effective Date

    When will this change be effective? (dd/mm/yyyy)

    About Your Insurance

    (Specify the policy to which this change applies)

    Company:

    Policy #:

    Additional Comments:

    Name of your broker:

    How did you hear about us?

    Testimonials

    "Just wanted to leave a message for your website that praises Nik Dore for being a constant example of always providing invaluable customer service. I never worry that my questions and concerns will be dismissed or that I am receiving less than constructive advice. Many thanks to him."
    &-–
    "I know all my insurance needs are covered with Oegema, Nicholson & Associates. I have been a loyal client for the last 15 years, and I can count of them for my commercial insurance, employee benefits, as well as my personal insurance and finances. Jeff Richer always goes above and beyond to help me with my insurance needs."
    O-Omkar Atwal, Owner, Leitrim Home Hardware
    "It’s always a pleasure to deal with Oegema, Nicholson & Associates, and I can depend on them for all my insurance needs. I have been a client for several years and whether it’s regarding my personal insurance, or anything to do with our employee benefits or commercial needs, I know I’m taken care of."
    R-Rhonda, Capital Dodge
    "I would like to thank Carol for everything she has done for me and my family over the years. It is my honest belief that we would not be in the position we are in if it was not for her guidance, expertise and honesty. We can't begin to thank her enough."
    T-Tim
    "ONA helps me with my personal insurance and my business insurance . They are my one stop shop when it comes to insurance and group benefits. I know I’m covered in all areas. Great friendly service and knowledgeable staff!"
    J-James Carriveau, President, Exact Interlock and Exact Properties
    "One call to Oegema, Nicholson Associates is all it took. After our basement flooded, within a day or two they had a crew cleaning everything up, taking down the drywall and itemizing everything to be cleaned, thrown out or restored. They had everything in place for us in a timely manner and were extremely patient with me as they talked me through the process and waited for me to make decisions."
    J-Jennifer Parks, Stittsville, Ontario
    "I’ve been dealing with ONA for over 20 years with my personal insurance, as well as our commercial insurance, and I know I can rely on them for great customer service, and prompt responses. I feel confident not only referring them to my employees, but to our customers as well."
    C-Charlene Brunet, President, Dan Murphy Ford
    Oegema, Nicholson Financial Inc.
    1453 WOODROFFE AVENUE
    613-686-6338
    Ottawa
    1451 Woodroffe Avenue
    Ottawa, Ontario K2G 1W1
    Manotick
    5526 Manotick Main Street P.O. Box 149
    Ottawa, Ontario K2G 1W1
    Almonte
    154 Bridge Street P.O. Box 749
    Almonte, Ontario K0A 1A0
    Russell
    243 Castor Street
    Russell, Ontario K4R 1B8
    Orleans
    3-3809 St. Joseph Blvd.
    Orleans, Ontario K4A 0Z8

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