cities

Part of Risk Strategies Company, Crow Friedman Group specializes in Liability, Commercial & Group Health insurance

certificates

Important Announcement About Certificates of Insurance

» In September 2009, ACORD revised the ACORD 25 Certificate of Insurance form.
For details about these changes, please click here.

Certificates of insurance are used to provide proof of insurance coverage to your clients or other interested parties. They show the various coverage, policy numbers, and limits.

We strive to issue certificates within the same day we receive your request. If you have specific insurance specifications from your client, please provide that information as well.

Note: Current clients of Crow Friedman Group, please complete the request form below to order a certificate. Requests may also be emailed directly to us at certificaterequests@crowfriedman.com. If you have any questions or need assistance, please call our office at 800-595-6526.

Firm's Name:
Contact Person
Email address:
 
Certificate Holder Information
Company:
Contact Person:
Address
City:
State:
Zip:
Email
 
Project Name:
Project No:

Distribution of Certificate
Mail original to Certificate Holder/Copy to Insured
Email to Address:
Fax to Certificate Holder -- Fax No.:
Fax to Insured -- Fax No.:
 
Special Instructions:
 

Download an email/fax ready version here. pdf

(Note: This document is in Adobe .pdf format. To download the free Adobe Reader, click here.)