Request a Certificate of Insurance Online.


A Certificate of Liability Insurance provides proof of active coverage from one business to another business.
Need a Certificate of Insurance? Call 888-611-7467, or complete the form or PDF document below.

Insurance Certificate Request

Please complete all requested fields below so we are able to process your Certificate of Insurance request efficiently and accurately.

If you would prefer to request future Certificates via fax or email, please download and save/print our Certificate of Insurance Request Form.

Step 1
Your Contact Information
Step 2
Certificate Holder (Business we are issuing Certificate to)

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What is a Certificate of Insurance?

A certificate of insurance is generally accepted as proof of insurance coverage. It is commonplace in many industries, especially service and construction, for one business to require a Certificate of Insurance from another business prior to having any subcontract work performed.


The Acord 125 form is the standard document used to issue certificates of insurance coverage. The Acord form includes information about the insured including coverage type, policy numbers, expiration dates, limits of coverage, and key details. The Certificate Holder is listed on the form as well as the Agency issuing the Certificate.


A workers' compensation Certificate is issued to the Certificate Holder in order to provide evidence of current coverage. This protects the Cert Holder from having to pay additional premium for your coverage on their own policy during an audit. If a policy is terminated prior to its expiration date, the insurance agency who issued the Certificate of Insurance will notify the Cert Holders of the policy termination.

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Visit NCCI for more resources and information about workers' compensation class codes. Visit United States Department of Labor for more information about government agencies managing workers compensation insurance rates.

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