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Ameriprise Auto & Home Insurance Property Casualty Companies 3500 Packerland DR. De Pere WI 54115-9070
Amex Assurance Company IDS Property Casualty Insurance Company |
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Direction of Pay |
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I, ________________________________________________, authorize Ameriprise Auto & Home Insurance to process direct payment to CAR Collision Center for any repairs to my, __________________________________________________________________________________ vehicle identification number _____________________________________________________. This is in reference to claim number _________________________________.
_________________________________________ ___________________________ Insured/Claimant Signature Date |