Service Center

Certificate of Insurance Request

Share the certificate-holder details and requirements for agency review.

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Business or insured name and contact details
Certificate holder’s legal name, mailing address, and delivery email
Job, contract, due date, and insurance requirements

A certificate documents existing insurance. It does not create coverage or change your policy. Send any contract requirements for review; the agency may need additional information.

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A request is not a confirmed policy change.

Online forms send a request to Dunton Insurance Agency for review, not directly to your insurance carrier. Insurance coverage cannot be bound, changed, or cancelled through this website or email. All requests require review and confirmation by a licensed representative or the insurance carrier. Do not assume a requested change or effective date is approved until you receive written confirmation from our agency or your carrier specifying the change and its effective date.

Please allow 1 business day for an agency response; completing a change may take longer. Requests are reviewed Monday–Friday, 8:30 AM–4:30 PM Eastern, excluding holidays. For a time-sensitive request, call 724-776-4646 during office hours.

Continue to our existing Tally form.

Open certificate request form

Prefer to talk? 724-776-4646
Mon–Fri, 8:30 AM–4:30 PM Eastern.

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Certificate of Insurance Request

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