**Service Request Disclaimer

• By submitting this request, you acknowledge that it is a request for service only and does not constitute a binding agreement or confirmation of coverage, endorsement, or policy change.

• All requests are subject to review, approval, and processing by Varde Insurance Group and, when applicable, the insurance carrier. No changes to coverage, limits, deductibles, or policy status are effective until you receive written confirmation from our office or your insurance company.

• Submitting this form does not guarantee that the requested change, endorsement, or coverage adjustment will be approved or completed.

• For policy cancellations, requests must be submitted directly via phone call or email and confirmed by a licensed agent. Cancellation requests submitted through this form will not be processed.

• If your request is time-sensitive or requires immediate attention, please contact our office directly.