Certificate Support

Request a Certificate. Keep Business Moving.

Send us the certificate holder details, required wording, and supporting documents. The MAD Insurance team will review your request and prepare the certificate accurately.

Certificate holder details

Provide the exact legal name and address that should appear on the certificate.

Required wording

Include additional insured, waiver, primary wording, or other requirements.

Direct agency review

Your request and uploaded files are delivered directly to the MAD Insurance team.

↑

Express COI Upload

In a hurry? Drop your COI template, contract, insurance requirements, prior certificate, or other supporting files below. Add a quick note and submit—we’ll review everything and follow up if more information is needed.

Express COI Upload – MAD Insurance

We use the information you submit to respond to your request and provide insurance services. Please review our Privacy Notice and Website Disclaimer. Submitting this form does not bind coverage or change an existing policy. An authorized representative must confirm coverage and policy changes. Contact us before submitting Social Security numbers, payment card details, or sensitive medical records.

Or complete the full request

Submit a Detailed COI Request

Use the guided form when you need to provide complete certificate holder, wording, endorsement, and delivery instructions.

Select Language »