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About Us
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Blog
Contact
Service Contracts
Veritas Select
Veritas Electric
Veritas Essentials
Dealership Tools
Become a Dealer
Agency Change Request
Refer a Dealership
Decline VSC eForm
Submit “Second Chance” Lead
Order Materials
Start a Veritas Claim
Cancellation PDFs
Veritas VSC Cancellation
Veritas GAP Cancellation
Provider Portals
Veritas Portal
Endurance Portal
LoJack Portal
Aegis Portal
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Agency Change Request
"
*
" indicates required fields
Step
1
of
2
50%
We're glad to be your agent
By completing this form you'll be requesting to have us (Rev Dealer Resources) be your Veritas Agent.
Tell us about you:
*
First
Last
Email
*
Phone
*
Dealership Name
*
Dealership Website
*
My Role
*
Owner
General Manager
Other Authorized Signer
What is your specific role?
*
Agency Change Authorization
*
Authorize
I authorize Veritas Global Protection to change our agency representation to Rev Dealer Resources, effective immediately.
Signature
Date
Month
Day
Year
Finishing Up
When you click submit below, an email will be generated to Veritas giving your authorization to change representation.
