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P.O. Box 469 Sandy, UT 840910469 Phone: 18004336162 Fax: 18006667560 Email: NACA insurechem.com Website: www.insurechem.com CERTIFICATE OF INSURANCE / ADDITIONAL INSURED REQUEST FORM Fill out one
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How to fill out additional insuredcertificate request form

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How to fill out an additional insured certificate request form:

01
Start by obtaining a copy of the additional insured certificate request form from the appropriate source. This may be a company or organization that requires you to have additional insured coverage.
02
Read through the form carefully to understand the information that is required. It is important to provide accurate and complete details to ensure that the request is processed correctly.
03
Begin filling out the form by entering your personal or business information. This may include your name, address, contact information, and any relevant business details.
04
Look for the section that asks for the information of the primary insured party. Fill in the necessary details, which may include the name, address, and contact information of the individual or entity that is providing you with the additional insured coverage.
05
Next, provide the details of the insurance policy that you currently hold. This may include the policy number, coverage dates, and the name of the insurance provider.
06
Check if there is a section that requires you to specify the type or extent of coverage requested. If so, indicate the specific requirements that need to be met for your situation.
07
Double-check all the information you have entered to ensure its accuracy. Mistakes or missing information can cause delays in processing your request.
08
Once you are satisfied with the information provided, sign and date the form where indicated. This signifies your agreement to the terms and conditions stated on the form.
09
Submit the completed form to the appropriate party or organization as instructed. This may involve delivering it in person, sending it by mail, or submitting it electronically through an online platform.
10
Keep a copy of the completed form for your records. It is always advisable to have a record of any requests or agreements made.

Who needs an additional insured certificate request form:

01
Businesses or individuals seeking additional insured coverage. This may include contractors, vendors, or other parties who need to provide proof of insurance to a client or organization.
02
Companies or organizations that require proof of additional insured coverage. This can include landlords, event organizers, or clients who want to ensure that they are protected from any liability or damages that may arise from the actions of another party.
03
Insurance agencies or providers who need complete and accurate information to process the request and issue the additional insured certificate.
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The additional insured certificate request form is a document used to request a certificate of insurance from an insurance provider adding an additional insured party to an existing insurance policy.
Any party who wants to be listed as an additional insured on an insurance policy is required to file the additional insured certificate request form.
To fill out the form, you need to provide your contact information, details of the insurance policy, and specify the coverage requirements for the additional insured party.
The purpose of the form is to ensure that the additional insured party receives proper coverage under the insurance policy in case of any claims or liabilities.
The form typically requires information such as the name and contact details of the additional insured party, details of the insurance policy, and the coverage requirements.
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