Complete the following form to order additional supplies. We will contact you about the next steps.

If you have any questions, please call us at 855-477-6687.







    Ways to Reach Us

    Email Us:
    [email protected]

    Call Us:
    855-477-6687
    Monday – Friday 8 a.m to 6 p.m CST

    Mailing Address:
    Lavalier Insurance Services, LLC
    757 Third Avenue, Tenth floor
    New York, NY 10017

    Fax:
    844-289-3311