Certificate of Insurance

At Levitt Insurance, we make it easy and convenient for our customers to perform all of their routine account changes, without having to call us. It takes all of a few minutes to fill out the form below, allowing us to process your changes as you’ve requested.

Certificate of Insurance Request Form

Name (name of the person submitting the request)*
First Last
Email*
Phone*
Policy holder’s name as shown on the policy*
Policy Number*
Address*
City*
Postal Code*
Certificate Holder (name of the company requesting the Certificate of insurance)*
Name*
Address*
City*
Postal code*
Does the Certificate Holder require to be noted as an Additional Insured*
- Yes
- No
When is the certificate needed?
*Please note that regular turnaround time is 2 business days
Please prove you are human by selecting the Heart.

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We represent all of Ontario including Toronto, Mississauga, Ottawa, Hamilton, Belleville, London, Waterloo, Kingston, Peterborough, North Bay, Kitchener, Oakville, Barrie, and Niagara Falls

Certificate of Insurance

Certificate of Insurance Request Form

WE REPRESENT ALL OF ONTARIO INCLUDING

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