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Request a Certificate of Insurance – new

Quickly and easily request a Certificate of Insurance by filling out the form below.

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Insurance Type*

Please check all that apply:*

Written Contract

No Written Contract

No Written Contract

Certificate Holder Needs Additional Insured Status*

Yes

No

If additional insured status is requested, is there a written contract?*

Yes

No

Attach document with additional requirements (optional)

Max. file size: 50 MB.

Prepare a Certificate of Insurance to the Following

Name*

Email*

Phone*

Company Name*

Address*

City*

State*

Zip*

Certificate Holder's Information

Name*

Email*

Phone*

Company Name*

Address*

City*

State*

Zip*

If entity needs to be named as an additional insured, what is their interest?*

If entity needs to be named as an additional insured, what is their interest?*

Landlord

Lesser of Equipment

Contractor for Job

Other

Description of Operations/Define Other*

Untitled

Condominium Certificate

Condo Association Name*

Unit Owner*

Additional Unit Owner*

Unit Owner's Email*

Street Address and Unit Number*

City*

State*

Zip*

Mortgage/Bank Information

Mortgage Bank Name*

Loan Number*

ISAOA / ATIMA*

Yes

No

Mailing Address*

City*

State*

Zip*

Delivery Instructions

Name*

Email*

Phone*

Company Name*

Address*

City*

State*

Zip*

Country*

Fax

Other

Phone

This field is for validation purposes and should be left unchanged.

"*" indicates required fields

Insurance Type*

Please check all that apply:*

Written Contract

No Written Contract

No Written Contract

Certificate Holder Needs Additional Insured Status*

Yes

No

If additional insured status is requested, is there a written contract?*

Yes

No

Attach document with additional requirements (optional)

Max. file size: 50 MB.

Prepare a Certificate of Insurance to the Following

Name*

Email*

Phone*

Company Name*

Address*

City*

State*

Zip*

Certificate Holder's Information

Name*

Email*

Phone*

Company Name*

Address*

City*

State*

Zip*

If entity needs to be named as an additional insured, what is their interest?*

If entity needs to be named as an additional insured, what is their interest?*

Landlord

Lesser of Equipment

Contractor for Job

Other

Description of Operations/Define Other*

Untitled

Condominium Certificate

Condo Association Name*

Unit Owner*

Additional Unit Owner*

Unit Owner's Email*

Street Address and Unit Number*

City*

State*

Zip*

Mortgage/Bank Information

Mortgage Bank Name*

Loan Number*

ISAOA / ATIMA*

Yes

No

Mailing Address*

City*

State*

Zip*

Delivery Instructions

Name*

Email*

Phone*

Company Name*

Address*

City*

State*

Zip*

Country*

Fax

Other

Name

This field is for validation purposes and should be left unchanged.

Get to Know Morse Insurance

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Get a Quote

Use the form below to request a free quote! For all current clients please visit our customer service page.

Name*

Last Name*

Type of Insurance*

Phone Number*

Email*

Address*

City/Town*

State*

Car Details

Make

Model

Year

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Additional Details

Other Insurance

Upload a PDF copy of your current policy for the most accurate and timely response.

Upload Document

Accepted file types: pdf, Max. file size: 50 MB.

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Morse Insurance Agency

Morse Insurance Agency is a family-owned business offering the best insurance strategies at competitive rates to Southeastern Massachusetts communities with four local offices in North Easton, Bridgewater, Marion, and Norton, MA.

285 Washington Street

North Easton, MA 02356

P: 508-238-0056

F: 508-230-8367

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Please note that the information provided above is for informational purposes only and is not a legal contract. Policy coverages or changes to policy coverages are not effective until acknowledged by your agent. Please talk to your agent and read your policy carefully for complete descriptions, details, and limitations of the coverages provided.

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