Contact Us | (301) 431-0000 | Capitol Benefits

How can we help you today?

If you have a question, comment, or would like to discuss a claim or request a policy change, please use the form below to get the process started. Alternatively, you can also call our office directly and speak with a member of our team. Thank you!

Contact & Customer Service Form

Name*
First Last
Email
Phone*
What is your preferred method of communication?
Which policy(s) do you need help with?

Please enter your policy number(s) if available
What is the nature of your inquiry?
- General Question
- Submit Request to Add Vehicle to Policy
- ID Card Request
- Policy Change Request
- Discuss A Claim
- Certificate of Insurance Request
- Other (Please describe below)
VIN#
Year, Make, and Model
Date Purchased
Who will be the primary driver?
Did you finance the car (what is the name and address of the bank)?
Did you trade in or sell an existing car?
Did you drop off the old license plates at the MVA or did you transfer them to the new car? What date did you drop them off?

(The MVA will fine you if you remove insurance before dropping off the tags)
What date do you need this policy change to take effect?
DD slash MM slash YYYY
Which vehicle do you need an ID card for (please enter year, make, and model)?
Please list the Additional Insured and/or Certificate Holder
Additional Insured and/or Certificate Holder Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Details regarding your question, policy change, claim or other request:*
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