Skip to the content

Insuring Germantown and All of Maryland - Call Today (301) 428-4935

Get A Quote(opens in new tab)

https://klingerinsurancegroup.epaypolicy.com (opens popup window)

Home Page (opens popup window)

19785 Crystal Rock Drive, Suite 301, Germantown, Maryland 20874

Google Maps Logo (opens in new tab)Yelp Logo (opens in new tab)Facebook Logo (opens in new tab)Twitter Logo (opens in new tab)LinkedIn Logo (opens in new tab)YouTube Logo (opens in new tab)Pinterest Logo (opens in new tab)Instagram Logo (opens in new tab)

(301) 428-4935

Client Portal(opens in new tab)
Insurance Services
About
Policy Service
Contact

Home > Policy Service Center > Certificate of Insurance Request

Certificate of Insurance Request

General Information
Name of Insured Company:
First Last
Name or Company requesting Certificate of Insurance:
Job Reference #/Loan #/Lease #:
Address of Holder:
Street Address Address Line 2 City State ZIP Code
Holder Phone:
Holder Fax:
Your Name:*
Contact Email Address:*
Handling Method:
- Fax
- Email
Required Coverages
Please provide copy of insurance requirements of contract:
- Commercial Auto
- Umbrella
- General Liability
- Equipment
- Workers' Compensation
- Builders Risk
General Liability Description:
Need Endorsements for Waiver of Subrogation:
- Yes
- No
Need Endorsements for Primary Wording:
- Yes
- No
Loss Payee:
- Yes
- No
Mortgagee:
- Yes
- No
Additional Insured:
- Yes
- No
Comments or Other Instructions
Attach File
Please attach written request(s) and/or contracts received, if any.
Max. file size: 59 MB.
Comments
This field is for validation purposes and should be left unchanged.

Δ

We Want Your Opinion!

Write a Review(opens in new tab)

Germantown Insurance Quotes

First Name*
Last Name*
Email*
Phone*
Company (Optional)
Select Type of Insurance*
CAPTCHA
Phone
This field is for validation purposes and should be left unchanged.

Δ

Customer Reviews

LT

Quote for you when police end and find the best, very helpful!Lucia T., Germantown, MD

HB

Great company!HoyMy B., Germantown, MD

BR

Faye is a great asset to the Klinger agency!Brandie R., Germantown, MD

MK

She is also great at keeping up with all my insurance needs.Molly K., Germantown, MD

A very professional team and definitely recommend to others.Priyesh P., Germantown, MD

See All Reviews See All Reviews

Specializing In Erie Insurance

"ERIE Auto Insurance Quote" (opens in new tab)

"ERIE Pay Your Bill" (opens in new tab)

"ERIE Life Insurance Calculator" (opens in new tab)

About

About Us
Our Insurance Carriers
Customer Reviews
Insurance Blog
Employee Spotlight
Klinger Cares
Licensed States

Insurance

Auto, Home, & Personal Insurance
Business Insurance
Life & Health Insurance
Group Benefits

Policy Service

Policy Service Center
File an Insurance Claim
Online Billing & Payments
Policy Change Request
Annual Insurance Checklist

WeChat (opens in new tab)

wechat

Add Us on WeChat

Contact

Klinger Insurance Group

19785 Crystal Rock Drive, Suite 301
Germantown, Maryland 20874

Phone: (301) 428-4935

Fax: (301) 428-4936

Mon-Thu: 8:00am-5:00pm
Fri: 8:00am-4:00pm
Sat-Sun: Closed

Google Maps Logo (opens in new tab)Yelp Logo (opens in new tab)Facebook Logo (opens in new tab)Twitter Logo (opens in new tab)LinkedIn Logo (opens in new tab)YouTube Logo (opens in new tab)Pinterest Logo (opens in new tab)Instagram Logo (opens in new tab)

Subscribe to Our Blog(opens in new tab)

Take a Virtual Tour of Our Office(opens in new tab)

britebee response time bot

Klinger Insurance Group Provides Auto/Car Insurance, Home Insurance, Business/Commercial Insurance, and Life Insurance to All of Maryland, Including Bethesda, Germantown, and Frederick.

© Copyright 2023, Klinger Insurance Group | Privacy Statement | Accessibility Statement | Login

Websites for Insurance(opens in new tab)