Certificate of Insurance

A certificate of insurance is a document that shows the named insured’s coverage. It states the effective and expiration dates, the carrier, the policy number and certifies the insured had coverage at the time the certificate was issued.

To request a certificate of insurance, fill out the form below. Temporary staffing or leasing or Professional Employment Organization (PEO) companies must request certificates of insurance by calling (405) 232-7663, ext. 5107 or (800) 347-3863, ext. 5107.

Certificate of Insurance

Request a certificate of insurance
  • Note - only the policyholder or their agent of record can request a Certificate with an Alternate Employer Endorsement or Waiver of Subrogation. Requests by others will not be fulfilled.

    Does the certificate holder require:

  • Requests for emailed Certificates must be here
  • Without dashes or spaces; example 4059623813
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