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FORMS >
REQUEST
CERTIFICATE OF INSURANCE Please complete the form to
expedite your Request Certificate of Insurance. Incomplete
information may cause a delay in processing request.
For
Safeco
customers: DO NOT COMPLETE THIS REQUEST!
Instead please call 800-332-3226 or fax 877-259-0832
or email
csusbi@safeco.com
to request a certificate.
For
Zurich
customers: DO
NOT COMPLETE THIS REQUEST! Instead please
call 866-972-2727 or fax 877-397-2329 or email
zsbservicecenter@zisinternet.com to
request a
certificate.
* indicates
required field
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By selecting
"Submit", you agree to provide Glidewell
Investments & Insurance Group, Inc., with
information about you and/or your organization, that you
are an authorized agent and/or representative of the
organization submitting this request, and you have the
authority to submit this request. In addition, the
information provided by you, in this online form, is
accurate.
You furthermore agree that a representative of
Glidewell Investments & Insurance Group, Inc.,
may contact you in the manner so indicated
above. We appreciate your communication! |
