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Policyholder Information Request Form

Thank you for contacting the Privacy Coordinator at EMC Insurance Companies. Please complete all fields applicable to your request and click Send Request.

* Indicates a required field.

Any Relevant Claim Numbers:
Type of Information Requested: * Please check at least on box containing the type of information requested

Additional information:

Privacy Coordinator
EMC Insurance Companies

P.O. Box 712
Des Moines, Iowa 50303-0712