Workers Compensation

Get a Workers' Comp Certificate

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Contact a Workers Compensation Specialist

Request a Certificate of Insurance Online.

A Certificate of Liability Insurance provides proof of active coverage from one business to another business.

Need a Certificate of Insurance? Call 888-611-7467, or complete the form or PDF document below.
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Insurance Certificate Request Workers Compensation Icon.

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Please complete all requested fields below so we are able to process your Certificate of Insurance request efficiently and accurately.

If you would prefer to request future Certificates via fax or email, please download and save/print our Certificate of Insurance Request Form.

1. Your Contact Information ( * Required Field)

Your Name:


Company Name:

Email Address:


Phone Number:


Policy Number:

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2. Certificate Holder (Business we are issuing Certificate to)

How would you like us to send your Certificate?




Cert Holder Name:


Cert Holder Address:

Attention To:

Fax To:

Email To:

Comments and Remarks:

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Privacy Notice: The Insurance Shop does not disclose, sell, or transfer any information about our visitors. Your information is shared with insurance related entities for the sole purpose of underwriting and quoting.

What is a Certificate of Insurance?

A certificate of insurance is generally accepted as proof of insurance coverage. It is commonplace in many industries, especially service and construction, for one business to require a Certificate of Insurance from another business prior to having any subcontract work performed.

The Acord 125 form is the standard document used to issue certificates of insurance coverage. The Acord form includes information about the insured including coverage type, policy numbers, expiration dates, limits of coverage, and key details. The Certificate Holder is listed on the form as well as the Agency issuing the Certificate.

A workers' compensation Certificate is issued to the Certificate Holder in order to provide evidence of current coverage. This protects the Cert Holder from having to pay additional premium for your coverage on their own policy during an audit. If a policy is terminated prior to its expiration date, the insurance agency who issued the Certificate of Insurance will notify the Cert Holders of the policy termination.

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Independent National Insurance Agents Associations.

Workers Compensation Experts One Agency, One Certificate of Insurance

At Workers Compensation, we're national experts on workers compensation insurance. But did you know that The Insurance Shop has Specialists in General Liability, Professional Liability, commercial auto, and other lines of coverage for business owners and employers?

When you get quotes for business insurance from us, you get highly skilled experts employed by our agency. We get to know your business, and then we get to work finding your best rates on all lines of commercial coverage. One agency, one certificate. Call today at 888-611-7467.

National Agency Number: 8847381
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