Request a Certificate

Request a Certificate of Insurance (COI)

A certificate of insurance is a slip of paper (either digital or printed), proving you have insurance coverage.

Depending on your role in relation to other businesses you work with, you may need a certificate of insurance.

If you are a subcontractor, vendor, or any business performing services on another business’ behalf, you will need to provide a COI. If you are hiring a subcontractor, vendor, or any business to perform services on your behalf, you will need to obtain a COI from the subcontractor.

Requests for certificates are handled Monday through Friday, 8am-4pm. All requests will be approved with Pacres Atil Insurance Management.

Pacres Atil Insurance Client/Insured Information
Name*
First Last
Email*
Phone*
Certificate Holder/Requester Information*
First Last
Requester Phone*
Requester Fax
Business Name (if applicable)
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Additional Information, Job or Project Details, or Special Instructions*
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