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Certificate of Insurance Request

You have the option of requesting Certificates of Insurance on the following electronic form. It is important to include as much information as possible. We will review your request, contact you if further information is required, and then send the certificate of insurance to the appropriate party(s).

  • General Information

  • Required Coverages

  • Drop files here or
    Max. file size: 59 MB.
      Please attach written request(s) and/or contracts received, if any.
    • By providing my phone number to Van Handel Agency, Inc., I agree and acknowledge that Van Handel Agency, Inc. may send text messages to my wireless phone number for the purpose of providing information. Message and data rates may apply. Message frequency will vary, and you will be able to Opt-out by replying ‚ÄúSTOP", assistance can be found by texting "HELP". For more information on how your data will be handled please visit our Copyrights and Privacy Statement.
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