Additional Insured Certificate Request
Welcome! This is our new Additional Insured Certificate Request form. Here is a simplified way to submit your additional insured certificate requests.

*NOTE* CERTIFICATES WILL BE RETURNED WITHIN 24 HOURS UNLESS SUBMITTED ON FRIDAYS. FORMS SUBMITTED ON FRIDAYS CANNOT BE GUARANTEED DAY-OF RETURN.

If you have any questions, please feel free to send me an email: gabriella@solarinsure.com

Email address *
Request Coming From: *
(Your Name/Company)
Your answer
Certificate Holder Individual or Company Name *
Your answer
Certificate Holder Address *
Your answer
Description of Operations/Locations/Vehicles
This is for any specific wording requested by the Holder. Example: "Certificate Holder is listed as additional insured"
Your answer
Insurance Requirements: *
(please check all that apply)
Required
Send Additional Insured Certificate To:
If the Certificate Holder requires a direct copy of of the COI from us, please insert their email below
Your answer
OTHER: Please include any specific requests, requirements, or questions regarding the certificate, here:
Example: "Holder requires A-rated endorsement for General Liability"
Your answer
Submit
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