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Make a Payment
Make a Payment
Enter your policy/account information:
Policy / Account Number:
*
Type your Account # or Policy #. Policy number must include prefix, i.e. BP12345
Policy Zip Code:
*
Enter the 5 digit billing zip code affiliated with the Policy / Account Number.
Name on Policy:
*
Select payment type:
Payment Type:
*
Credit Card
ACH
*
Required field.
Enter your payment information:
Payment Amount:
*
Credit Card Number:
*
Expiration Date:
*
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CVV2 Number:
*
What is this?
First Name:
*
Name of person filling in this form.
Last Name:
*
Name of person filling in this form.
Billing Address:
*
Billing City, State, Zip Code:
*
,
,
Email:
*
Email address to send a copy of the receipt to.
Phone Number:
*
Phone number to contact in case there are any questions.
I have read and agree to the terms of ICC's
Privacy Policy
and ICC's Return Policy, which is stated in my current policy.
*
Required field.
Enter your payment information:
Payment Amount:
*
Routing Number:
*
Nine digit number found on the bottom of a check.
Account Name:
*
Named Insured
Account Number:
*
This is your bank account number. Which is located on the bottom of a check.
Retype Account Number:
*
Account Type:
*
Checking
Savings
Account Format:
*
Commercial/Business
Personal
First Name:
*
Name of person filling in this form.
Last Name:
*
Name of person filling in this form.
Billing Address:
*
Billing City, State, Zip Code:
,
,
Email Address:
*
Phone Number:
*
Phone number to contact in case there are any questions.
I have read and agree to the terms of ICC's
Privacy Policy
and ICC's Return Policy, which is stated in my current policy.
*
Required field.
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Contact ICC
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*
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Policy / Account / Claim #:
Optional. If you have your Policy information it is highly recommended to type either your Policy #, Account # or Claim # Include prefix, i.e. BP12345
Agency Name or #:
Optional. Type the Agency Name or Agency #, if applicable.