Request for Evidence of Property

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.

Do you also need a Certificate of Liability?
YesNo

Name of Insured or Unit Owner:

Address of Property (please include Unit Number if applicable):

Mortgage Loan Number:

Mortgagee clause:

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 evidence 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 insurance(at)wellsins.com OR FAX TO 910-251-9404.

Please allow 24 to 48 hours for the Evidence 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.