Journeay Insurance Agency, Inc.
8 West Main Street
Merrimac, MA 01860
Fax 978-346-9620
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Request a Auto ID Card for Canadian Travel

When traveling to Canada,  this card is necessary to certify that the party named on the card is insured against liability for bodily injury and property damage in an amount not less than the statutory minimum requirements of every province of Canada.
Contact Name:
Email Address REQUIRED
Phone Number:
Fax Number:
Insured Name:
Year and Make of Vehicle:
City or Town:   
ZIP Code:
Travel Dates:

Leaving on:

  Returning on:  
Handling Instructions:
Additional Comments: