Proof of Insurance Request for Association Coverage

Please complete the short form below and we will process your request during regular business hours: M-F 8am-5pm EST. Please note that it can take 48-72 hours to fulfill this request due to weekends, etc, however we will attempt to respond much sooner.

    Name of Association:

    Property Address:

    Name of Borrower:

    Mortgage Loan Number:

    Mortgagee Name and Address:

    Name, phone number and direct email address of person requesting evidence:
    Your Name
    Your Phone
    Your direct email

    Please provide fax or email address where the Proof of Insurance should be forwarded:

    Additional Comments:

    IF YOU HAVE A SIGNED AUTHORIZATION FROM THE INSURED TO ALLOW US TO PROVIDE THE INFORMATION YOU ARE REQUESTING, PLEASE EMAIL IT TO certs@wellsins.com OR FAX TO 910-254-9404.

    Please allow 48 to 72 hours for the Proof of Insurance to be forwarded; if you require the information sooner, please call our office during regular business hours 8am-5pm EST Monday through Friday.

    *Please note that we can not bind coverage or accept any policy changes or claims through this contact form. Unencrypted e-mail is susceptible to viewing by unauthorized parties.

    To ensure your confidentiality, it is important that you do not provide any information you consider confidential and/or personal in nature (i.e. Social Security Number, claim number, etc.) via e-mail or through this form.
    You may however, send us this type of information via phone, fax or mail.

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