Pay Your Bill On-Line :: 13 Digits

For your convenience Callicoon Cooperative Insurance has arranged for a third party vendor, USAepay, to accommodate credit card and e-check payments.

Visa, Mastercard, Discover, AMEX and electronic check (ACH) are accepted.

There is no sign up or login required to make a one-time payment.

To make a payment, complete the required fields below.

Note: The policy number begin with the letter “P, H, M, F, S or I” and be followed by 12 numbers to process this form.

Payment Amount:


Policy Number:
(Must contain ONLY ONE OF THESE LETTERS:
“P, H, M, F, S or I” and be followed by 12 numbers
OR
BEGIN WITH A SEQUENCE OF:
“SS”, “SD”, “PF”, or “IM” and be followed by 11 numbers)


First Name:


Last Name:


IMPORTANT- Please provide the billing address for the credit card that is being used.

Address:


City:


State:


Zipcode:




Visa, Mastercard, Discover, AMEX and electronic check (ACH) are accepted.