Request a Certificate of Insurance | Wellington Partners Insurance Services

How It Works

Fill out the formProvide your insured name, policy details, and certificate holder information exactly as it needs to appear on the certificate.

We process your requestOur team reviews the request and prepares your certificate. Standard requests are issued same day if received before 4PM PST.

Certificate deliveredWe email your certificate directly to you and/or the certificate holder. Additional insured endorsements may require carrier processing time.

Important Notes

Please fill out the certificate holder information exactly as it needs to read on the certificate. Spelling, punctuation, and address format all matter.

If you need an additional insured endorsement, please note this in the special requirements field. These may take 24–48 hours as they require carrier processing.

For blanket additional insured or waiver of subrogation requests, please call us directly at (818) 492-4355.

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Need it urgently? Call us directly at (818) 492-4355 or email [email protected] and we'll prioritize your request immediately.

Certificate Request Form

Fill out exactly as the certificate holder needs to read

Your Information (The Insured)

First Name

Last Name

Business / Insured Name

Phone

Your Email

Policy Type

Certificate Holder Information

⚠️ Important

Enter the certificate holder's name and address exactly as it needs to appear on the certificate. This information will be printed verbatim — double check spelling and formatting before submitting.

Certificate Holder Name

Certificate Holder Address

City

State

ZIP Code

Certificate Holder Email (to send COI directly)

Additional Requirements

Additional Insured endorsement required

Waiver of Subrogation required

Primary & Non-Contributory language required

30-day notice of cancellation required

Special Instructions or Description of Operations

Date Needed By

🔒 Requests are processed same day (before 4PM PST). You will receive a confirmation email. For urgent requests call (818) 492-4355

Request aCertificate of Insurance

How It Works

Important Notes

Certificate Request Form

Request a
Certificate of Insurance