Carter & Company - Insurance Managers

Carter & Copany, LLP -- Insurance Managers

Carter & Company - Insurance Managers
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Certificate of Insurance Request

Request a Certificate

This Certificate of Insurance Request Form is for existing clients of our agency who hold Commercial policies. Please provide as much information possible to receive an accurate certificate. This information will be kept strictly confidential and will be used for these purposes only.

Applicant Information
Named Insured (Your Organization):
Today's Date:
Date Certificates Needed:
Certificate Holder Name:
Street Address:
City:   State:   Postal Code:
Fax Number: Telephone:
Email Address:

Additional Insured
On occasions, the name of another party or interest needs to be added to your policy as an Additonal Insured.
If this is needed, please provide the following information:
The interest of the Additional Insured is that of: Landowner   Customer   Lienholder   Other
If other, please describe:
If you need the Certificate of Insurance immediately, please submit this form to us by clicking the "Submit" button below:
If you prefer to fax or mail the form to us, just complete it in it's entirety, print and fax to 830-875-9362 or mail to:

Carter and Company, LLP
P.O. Box 672
Luling, TX 78648

When your request is received in our office, we will issue the Certificate of Insurance within 24 hours.
Please indicate below how you would like certificates sent:
To Them              Copy To You
By Fax By Fax
By Mail By Mail

Disclaimer
 
I have reviewed the information that I have entered above and confirm it is accurate to the best of my knowledge.
 

Please click on the "Submit Request" button to send your certificate of insurance request.
One of our representatives will respond to your submission as soon as possible.

   

 

Important Note: This web site provides only a simplified description of coverages and is not a statement of contract. Coverage may not apply in all states. For complete details of coverages, conditions, limits and losses not covered, be sure to read the policy, including all endorsements, or prospectus, if applicable. Coverage CANNOT be bound, amended, or altered by leaving a message on, or relying upon, information in this Website or through E-MAIL.
         Carter & Company - Insurance Managers
522 E. Crockett, Luling, Texas 78648    Address:
522 E. Crockett
Luling, TX 78648
(Across from Post Office)
Carter & Company - Insurance Managers
P.O. Drawer 672, Luling, Texas 78648-0672    Mailing Address:
P.O. Drawer 672
Luling, Texas 78648-0672
Carter & Company - Insurance Managers
Phone: (830)875-3164 - Toll Free: (800)967-0972 - Fax: (830)875-9362    Phone:
Toll Free:
Fax:
   (830)875-3164
(800)967-0972
(830)875-9362
Carter & Company - Insurance Managers
Hours: Monday - Friday -- 7:30 am - 5:00 pm    Office Hours:
Monday thru Friday
7:30 a.m. - 5:00 p.m.
 
Carter & Company - Insurance Managers
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Carter & Company - Insurance Managers
Carter & Company - Insurance Managers