Military Childcare Insurance

Wilcock & Associates Insurance Services

ADDED BENEFITS

Your certificate will be faxed to your coordinator on the day received.
The liability for approved pets, including dogs, is covered with this policy.
If you need a substitute, then he/she is also covered (if military cerfified).
Up to six children are covered, you will not be charged for them individually.

FREQUENTLY ASKED QUESTIONS

Certificate extensions are not available.
Your personal property is not covered (we recommend a renter's policy).
We accept personal checks and money orders.
You may print out and fax your application instead of using the online form.

TERMS OF INSURANCE

Six-month certificates are non refundable, unless not approved.
Year certificates are refundable up to six months, with a maximum of $73.00 or less depending on the unused portion.

INSURANCE ORDER FORM

Order insurance online, just fill out this form.

Branch Air Force
Coast Guard
Marines
Navy

Renewal? no     yes

First Name
Last Name
Phone
Email
Fax

Mailing Address

Address
City
State
Zip

Military Information

Sponsor (spouse)
Rank
SSN#
Base
Director

Previous Losses? no     yes

Animals?
list all breeds
   

Policy Effective Date
   

Type of Coverage? 1 year ($150)
6 months ($73)

   

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