Request a certificate of insurance

For current clients. Tell us who needs the certificate and what their contract asks for. An additional insured on an existing policy is usually a same-business-day job once the request is complete.

Your policy

So we can find the policy and reach you with questions.

Insured or business name (required)Exactly as it appears on the policy.

Policy number (required)On your declarations page or ID card.

Your name (required)

Email (required)

Phone (required)

Certificate holder

The business or person who asked for the certificate. Use their exact legal name.

Certificate holder name (required)

Street address (required)

City (required)

State (required)Two-letter code, for example MN.

ZIP (required)

What the holder requires

Tick everything the contract mentions. Not sure? Paste the insurance clause into the notes.

Additional insured
Primary and non-contributory
Waiver of subrogation
Loss payee (equipment and rentals)
Notice of cancellation
Something else (describe below)

Needed by

Project, shoot or rental datesFor example 12 to 15 November, plus one prep day.

NotesContract wording, limits requested, where to send the certificate, anything else we should know.

This is a request, not a change. Submitting this form does not change your policy, issue a certificate or bind coverage. A licensed agent reviews every request and confirms it in writing. If something is urgent, call 612-438-3377.

I understand this is a request only. Nothing is bound or changed until Betters Insurance confirms it in writing. (required)

We reply by email during business hours.