Facebook Pixel

Proof of Insurance

Request a copy of proof of insurance

A certificate of insurance is documentary proof that there exists insurance coverage to and from any business.

People or business entities supplying services or goods to customers make good use of certificates of insurance in assuring customers that the liability, worker’s compensation, property as well as all other insurance coverage exists in order to enforce the numerous obligations as part of the obligations.

→ Back to Form Requests


Certificate of Insurance Form

Request a copy of proof of insurance by completing the information below.

Your Information

Your Name*

Company

Address

Address 2

City

State

Zip

Daytime Phone

Email*

Where do you want the certificate sent?

Company

Email*

Address

Address 2

City

State

Zip

Daytime Phone

Daytime Fax

Please send us your questions, comments & feedback:

If you are contacting us to make a policy change or to request coverage, you must be contacted by an agency representative of Unruh Insurance before coverage will become effective.