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Certificate of Insurance

To request that C. T. Lowndes & Company send a Certificate of Insurance for liability, workers compensation, or commercial automobile insurance, please complete the following. All fields must be completed before your request can be submitted. Certificate of Insurance will be processed during our normal business hours, after hours will be handled the next business day. Thank you for doing business with our agency.

**Please provide complete mailing address for certificate holder including Town, State, and Zip Code

First, please identify yourself:

First Name *

Last Name *

Street *

City *

State *

ZIP / Postal Code *

Primary Phone Number *

E-Mail Address *

Your Business's Name *

To whom do you want the certificate of insurance sent to?

Business's Name *

Contact Person *

Business Mailing Address *

Business Phone Number *

Business Fax or Email Address *

Does the certificate holder require additional insured status?

Yes
No

Other information such as job name, term period if not present term, etc.

Submission Validation

Required

Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.

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749 St. Andrews Blvd | Charleston, SC 29407 | 1-800-551-3817