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Certificate of Insurance Request Form

Finck and Perras Insurance customers may complete and submit this form to obtain a Certificate of Insurance. We will prepare it for the next business day following receipt (Monday-Friday) of your request. We can then fax, email or hold it for you to pick up, based on your instructions below. If you have any questions or Certificate has not been received please email info@finckandperras.com for assistance. Thank you for your business.

Just fill in this simple form. Required Fields *

Date

Person Requesting Certificate

Company Requesting Certificate

Requester's Email

Phone Number

Fax

Please note that the original Certificate will be sent to the certificate holder even when faxed. Also a copy will be sent to you and the insurance company.

Certificate Holder (Recipient)

Attention

Mailing Address

P.O. Box / Suite (if any)

City

State

Zip

Certificate Is:

Please select an option:

Please Fax Certificate To:

Please Email Certificate To:

Please Name the Holder as Additional Insured:

Please select an option:

Please Name the Following as Additional Insured:

Separated by commas

Please Reference the Following Job:

Additional Description (if any):

Case Studies

Finck & Perras gains local customer’s trust

The Problem: Customer was looking for a local insurance agent she could count on.

How We Helped

You won't find a better insurance team . . . anywhere

Come experience why we've been voted the "Best Local Insurance Agency", in the valley fifteen years running! Personal service, reasonable rates and a commitment to giving back to the community that is unsurpassed.

Meet The Team

An Independent Insurance Agency

Being an independent broker means we can search many companies to find you the coverage that best fits your needs. Here are some of the companies we regularly work with.