TRUCK INSURANCE SPECIALISTS

Call Toll Free: 1-800-229-8782

Commercial Carriers  

Insurance Agency

A SUBSIDIARY OF AMERITRUST GROUP, INC.

Request a Certificate of Insurance
 
 
 

Proudly Serving The Transportation
Insurance Industry Since 1974

 



Request a Certificate of Insurance

IMPORTANT: Online certificate requests do not guarantee instant issuance of certificates.

CCIA clients may now request a Certificate of Insurance by filling-out the information below and clicking submit. Your request will be completed after verification of the information provided.

File Upload: If you prefer, instead of filling out the web form below, you can choose to upload up to three (3) files of your own to send to the certificates department, however you must fill-in the Business Name and insured email.

Simply click the "Attach Files" button below and choose the appropriate file(s). Once finished, click "Submit" to send your form and files.

 

Your Information    
Business Name  
Name of Insured  
Phone
Email  
Fax Number
Certificate Holder Information
Company Name  
Street Address  
City, State Zip  
Preferred Delivery Fax Email U.S. Mail
Email
Fax Number
Additional Insured Endorsement Yes No  

If Yes, choose one of the following:

Auto Liability GL holder
Cert Holder Recipient
Name Attn:
Comments:  

 

Attach Files

 
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