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Get a Certificate of Insurance

Learn more about certificates of insurance in the Stratum Insurance Agency Learning Center. Otherwise, fill out the form below to request a certificate of insurance.

Certificate Request
How we can we help you today?*
- Request a Certificate of Insurance or Additional Insured
- I need help with something else
- Sending a copy of the contract requiring insurance
Do you know with which carrier you have your policy?*
We have service centers that can make you certificate for you over the phone with no service charge. If you do not know your carrier, please choose I do not know.
Please call the service center for policy changes, payments, and certificates at 866-467-8730 (from 7AM to 7PM Central Standard Time).
Do you need rush service? A rush service fee applies to same day and 24 hour certificates which is shown at the end of this form.*
Please choose an option below. A fee may apply for a rush certificate.
Name*
First Last
Your Company Name (if applicable)
Email*
Enter Email Confirm Email
Phone
Policy number - If you know your policy number, enter it here
That's another advantage of working with Stratum, we know your by name, not as a policy number.
As of what date do you want to make this change? (if applicable)
Date Format: MM slash DD slash YYYY
Tell us how we can help you today.
Provide the Full Name and address of the certificate holder
To make a certificate of insurance, we must have the full name and address of the certificate holder. If the certificate holder needs to be an additional insured, please check the box. If you need multiple certificates or AIs, please provide the name and address of each one.
Information about your certificate of insurance*
- I am requesting a certificate holder only and no additional insured status
- The certificate holder needs to be added as additionally insured
- The certificate holder is different from the additional insured
- I do not know the difference between additional insured and just certificate holder
Do you have a written contract or agreement requiring the additional insured status?*
- Yes
- No
Remember, in most cases, to add an additional insured for no charge, there must be a written contract or agreement requiring it. This applies, generally, if you have blanket additional insureds on your policy. If there is a charge or additional premium due, we will contact you to discuss the options prior to adding the additional insured.
What is the relationship between you / your business and the additional insured (AI)?*
Send us a Picture or File
Accepted file types: jpg, gif, png, pdf, bmp, doc, docx.
We can only accept files in this format: jpg, gif, png, pdf, bmp, doc, docx
Which address are you changing?*
- My mailing address only
- My garaging or location address
- Both my mailing and location address
Do you need another certificate of insurance?
- Yes - provide information below
- No
Please provide the name and address of the certificate holders or additional insureds for your certificate.
For the next certificates - please tell us if they need to be added as additional insured or just certificate holders.*
- Certificate Holder Only
- Additional Insured
- Other - I described it in the previous box
Do you want to subscribe to our small business newsletter?
- Yes
- No - thank you
We do not send a lot of newsletters, but when we do, they are filled with valuable risk prevention and small business ideas.
Rush Service Fee Payment Section
Total due for Rush Service
$0.00
Enter your Credit Card Number*
Write in your credit card number above
Month and Year of Expiration*
Example: 09/20
3 digit number from back (Visa/MC) or 4 digit from front (AMEX)*
BILLING ADDRESS*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
I agree to pay this non-refundable rush service fee. I understand that even if I do not need the certificate, that once it is processed, the fee is non-refundable.*

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Real Time Certificates are available from some companies

If you have your insurance with a company below, please call them for a certificate:

The Hartford 866-467-8730
Travelers 888-661-3938
USLI or Mount Vernon 855-275-8754

Types of Insurance

Small Business Insurance
Certificates of Insurance
Auto Insurance
Home Owners Insurance
Condo Insurance
Renters Insurance

Interesting Facts

Did you know that we can help with insurance for over 500 industries across the country? In Ca Lic 0e52066

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