Certificate of Insurance

MyTechInsurance - Create Certificates of Insurance Wherever, Whenever

Register on our secure online policy portal, and as long as you have an active policy with TechInsurance, you can produce your own certificates of insurance whenever you like.

Or if you prefer, you can request that we prepare and send you a certificate by completing and submitting the form below.

Certificate of Insurance Request Form

Your Company Name:


Your Name:


Your Email Address (So we can email the certificate to you.)


Your Fax Number (If you want us to fax the certificate to you.)


Check the box below if your client requires that they be named an Additional Insured.  (Your client will be covered under your policy for work you do on their behalf.)  Most clients do not need to be additional insureds and simply want to be Certificate Holders.  This should be indicated in your client's contract.


Your Client's Name and Full mailing address
(include address, city, state, and zip code)


Special requests or comments