Commercial Lines Certificate Request

Request for Certificate of Insurance; Evidence of Insurance; Waivers of Subrogation:

Agents are not permitted to issue Certificates of Insurance or EPI’s.

*You may call the Service Center for policies written through Travelers, Hartford, &   Hanover; (Service Center Link) or submit your request via email to
  
nikki.lairson@sls-ins.com or fax to 918-336-2178 to Nikki’s attention.

Information required for all requests:

* Agency Name, Contact, Phone #, Fax #, email address

* Policy Name; Policy Number

* Is request for Evidence of Ins., Certificate of Ins.; or Waiver of Subrogation?  

* Name and address of Certificate Holder:

* Detailed description of Certificate Holder’s interest with insured or account.

* Additional information required for Waiver of Subrogations:
   Description of job
   Cost of Job
   Payroll associated w/job
   Length of time for completion of job
Note: Waivers of subrogation are per job and subject to underwriter approval and are premium bearing endorsements. 

* Indicate any special requests or additional requirements.

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