Certificate of Insurance Request

You can email us at certs@clinewood.com or fax your request to (913) 451-3925.

Please include the following information:

  • The name of our customer (who our insured is).
  • The name of the certificate holder.
  • Certificate holder address.
  • Method of delivery:
    • Email address where the certificate needs to be sent (Preferred)
    • -OR-
    • Fax number where the certificate needs to be sent.
  • A call back number and contact name in case we need to reach them.


Please Note:

  • If during normal business hours [8 a.m. – 5 p.m. CT] you have not received your certificate within one hour please contact our office at once.

Request a Certificate of Insurance Online:

  • Named Insured

  • Certificate Holder

  • Delivery Information

  • Enter either the email or fax number where the certificate should be delivered.
  • Requested By:

  • If we have any issues with your request, we may need to contact you. Please provide us with your contact information in order to process your request as quickly as possible.
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