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How to Request a Change

Here's all you need to do to request a change:

  1. Open the form when you receive it. You will need the free Adobe Acrobat Reader to view and print it.
  2. Fill out the shaded part and the section appropriate to your change. The form can be filled out electronically or by hand.
  3. Print the form. Please make sure you've signed it and fax it to 608.257.3940.
  4. The form may also be mailed to NGL, P.O. Box 1191, Madison, WI 53701-1191. If you have any questions or problems, please feel free to call us at 800.548.2962.

You will receive confirmation of your policy change by mail.

Completing the Form Electronically

  1. Check the boxes of your choice by placing the mouse over the box and clicking (the cursor will turn from a hand to an arrow). To un-check a box, simply click on it a second time.
  2. To type on a line, click where you want to start and begin typing. Use the tab key to advance to the next line.
  3. Once you've completed all applicable fields, print the form by clicking on the print button at the top of the screen (part of Acrobat Reader).

Note: When you close the Acrobat Reader, your entries will not be saved. If you print the form and realize you need to add or change something, your entries will still exist as long as you did not close the program.