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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.

First, please identify yourself:

First Name

Required

Last Name

Required

Street

Required

City

Required
State
Required

Postal Code

Required

Phone

Required

E-Mail

Required

Your Business's Name

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

Business's Name

Required

Contact Person

Required

Business Mailing Address

Required

Business Phone Number

Required

Business Fax or Email Address

Required

Does the certificate holder require additional insured status?

Optional

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

Optional

Code

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Verify

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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