
Get the free REQUEST FOR ADDITIONAL INSURED American Professional Agency
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NAME: Account #: REQUEST FOR ADDITIONAL INSURED Complete the following questionnaire and return to: American Professional Agency, Inc. 95 Broadway Amityville, NY 11701 1. Name & Address of proposed
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How to fill out request for additional insured

How to fill out a request for additional insured:
01
Begin by writing the date at the top of the form or letter.
02
Include your name, contact information, and any relevant policy or claim numbers.
03
Address the request to the insurance company or agent who handles your policy.
04
Clearly state that you are requesting to add an additional insured to your policy.
05
Provide the full name, address, and contact information of the additional insured.
06
Explain the reason for adding the additional insured and the relationship they have to the insured property or activity.
07
If necessary, include any supporting documentation or certificates of insurance that may be required.
08
Sign the request and include your title or position, if applicable.
09
Keep a copy of the request for your records.
Who needs a request for additional insured:
01
Businesses or organizations that hire contractors or subcontractors for a project.
02
Property owners who lease or rent out their property to tenants or event organizers.
03
Event organizers or sponsors who require vendors, performers, or participants to have insurance coverage.
04
Anyone who wants to provide liability coverage to another person or entity in addition to themselves.
05
Insurance policyholders who need to add their spouses, family members, or business partners as additional insureds.
Please note that the specific requirements for requesting additional insured status may vary depending on the insurance policy and the insurance company. It is recommended to consult with your insurance agent or review your policy documents for detailed instructions on how to fill out the request accurately.
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