Virginia
Workers Compensation Insurance

I hereby expressly consent and agree that in order to administer and service any quote request or account, or to collect any amounts that I may owe, plus offer me products and services that may serve my financial needs, Select Insurance, its affiliates, agents, assigns and service providers may contact me at any telephone number that I provide now or in the future that is associated with my accounts. These numbers include but are not limited to: cellular phones, wireless telephone numbers, and/or other wireless devices, regardless of whether I incur charges as a result. Select Insurance, its affiliates, agents, assigns and service providers may contact me using the following methods: text messages, pre-recorded/artificial voice messages, and/or use of an automatic dialing system, as applicable. I certify that I am the subscriber of all telephone numbers provided to Select Insurance. Standard rates and fees may apply from my telephone provider. I understand that I am not required to provide my consent as a condition of receiving any service from Select Insurance, and that I have the right to revoke consent for any and all telephone numbers provided at any time. I may revoke that consent either by e-mailing Select Insurance, or by notifying Select Insurance through written notices.