Need proof of insurance for a customer, landlord, contractor, lender, event, job site, or other business relationship? Use this page to request a Certificate of Insurance from Willard Insurance Agency.
Complete the form below with the certificate holder information and any special requirements so we can prepare the request accurately.
Providing complete certificate information helps prevent delays. Depending on the request, we may need details like these:
Provide the full name and mailing address of the person or organization that should appear as the certificate holder.
Include the job, project, event, lease, loan, or contract information connected to the certificate request when applicable.
If the requesting party provided specific wording, additional insured requirements, waiver language, or contract instructions, include those documents or details with the request.
Complete the form below with the certificate holder and request details. A Willard Insurance representative can contact you if additional information is needed.
Have your business or policy name, policy number if available, certificate holder information, and requested deadline ready before submitting.
Important: A Certificate of Insurance provides evidence of existing coverage. It does not automatically change policy terms, increase limits, add coverage, or create rights beyond the policy itself. Requests involving additional insured status or special endorsements may require review and carrier approval.
If your certificate is needed for a deadline, closing, job start, or contract requirement, call Willard Insurance at (540) 483-2715 after submitting the request.
Willard Insurance Agency can help you provide insurance documentation to the businesses, organizations, and partners who need it.
