Pay By Check
You can also pay by credit card, click here

Disclaimer:
By submitting this form you authorize S.O.S Insurance Brokerage to draft a check on your bank account for the amount shown below. You will receive a copy of the check in your next monthly bank statement. Payment will be posted on the date of the on-line submission.

You understand a $25 fee will be charged for all checks returned by your bank for any reason, and you authorize S.O.S Insurance Brokerage to bill your account should such an event occur.

I understand that the submission of this payment DOES NOT indicate reinstatement of any lapsed policies. Furthermore, This On-line payment is only considered binding when I receive an email (or fax) response from SOS Insurance indicating that they have received my Payment and the insurance companies have accepted to reinstate my policy.

I Also understand that if this payment is for monthly installments and it is being submitted after the due date, there would be a lapse in coverage and the insurance companies have the option not to accept this payment.

Please provide the following information (Must be the same as address on check)
I have read and agree with the above
Name on Check
Address
City
State
Zip Code
Phone Number
Email Address
Check Information:
Bank Name
Bank City
Bank State
Fraction Code
(Located at top right of check.
Example: 90-66/1220)
Sample Check
Routing Number
Account Number
Check Number
Check Date (mm/dd/yyyy)
Enter The TOTAL amount being paid
Payment To