Vehicle/Equipment Change Request | Hudson Trucking Insurance

Vehicle/Equipment Change Request Form

Truck / Vehicle Information*

Add/Remove	Year	Make	Model	Value	17 Digit VIN Number	Garaging Zip Code

Trailer / Scheduled Equipment Information

Add/Remove	Year	Make	Trailer Type	Value	17 Digit VIN Number

For Trailers, please Specify if Dry Van, Reefer, Flat Bed, etc. in the type field.

Additional Interest:

Last 4 of Vin #	Additional Interest Name	Street Address	City	State	Zip Code	Interest Type

Interest Type: Loss Payee, Additional Insured, Lien Holder, Leasing Agent