IDAL Application Response

Congratulations, you qualify for IDAL insurance program … here is an overview!

"*" indicates required fields

Total

(This total includes all taxes and fees)

Premium

Price:

State Surplus Line Tax

Price:

Policy Fee

Price:

(The policy fee is fully earned and will not be refunded if the policy is cancelled)

Total Yearly Premium

Each policy will be issued on a 12 month basis from your effective date chosen.

Purchase Acknowledgement*

Please begin my coverage based on the information provided on my application and per the terms of the policy

Billing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Once purchased, you will receive a confirmation email containing your coverage certificate along with a copy of the policy. We often are able to turn this around within 24-48 hours but please allow up to 5 business days for processing.

If you have any questions or need us to rush your coverage certificate, please email or call Sarah LaRocca, your personal IDAL insurance representative, at 1-866-916-9420 / idal@citadelus.com.

Thank you for your support! We wish you a very successful year!

IDAL Insurance Program is powered by Citadel Insurance Services, LC