Your policy

Your name

First Name

Last Name

Phone

Your email

We’ll use this to reach you about your request.

Preferred language / Idioma preferido

Se habla español.

English

Español

Insured business name

The name on your policy.

USDOT or MC number (optional)

Certificate holder

Certificate holder name

The broker, shipper, lender or other business that needs the certificate.

Certificate holder address

Address 1

Address 2

City

State

ZIP Code

Delivery and requirements

Send the certificate to (email)

Where the certificate should go, such as the broker’s setup email.

Needed by (optional)

Helps us prioritize. It isn’t a delivery date, and every request is subject to review.

YYYY

Does the holder need to be named as an additional insured?

Additional insured status needs an endorsement on your policy, and its wording has to fit what the holder asked for. We check it. A certificate alone doesn’t add anyone.

No, just proof of coverage

Yes, named as additional insured

Not sure

Special wording or requirements (optional)

Paste any wording the holder asked for, like waiver of subrogation or a specific description of operations.

Text message consent (optional)

Optional: I agree that Pharos Insurance Group may send text messages to the number above about my quote or service request and related policy servicing. Consent isn’t a condition of purchase. Message frequency varies. Msg & data rates may apply. Reply STOP to opt out, HELP for help. Terms: pharosins.com/texting-terms

See pharosins.com/texting-terms and pharosins.com/privacy.

Sensitive information

Please don’t put Social Security numbers, driver’s license numbers, or bank or card details in this form. Driver’s license and CDL details and documents like loss runs, dec pages, VIN lists and authority letters can be emailed to sales@pharosins.com, texted to (305) 776-9420 or given to us by phone. Never send Social Security numbers or bank or card details by email or text.

Preview only, form not active

Request a certificate of insurance

For current clients. Tell us who needs the certificate and where to send it.

During business hours (Mon–Fri, 8 AM–6 PM ET), you’ll get your certificate back within 30 minutes. Requests sent after hours go out first thing the next business morning.

Certificates are free for our clients. We send it straight to the holder and copy you.

Email us your request

Email is the easiest way. Send it to certificates@pharosins.com and include:

Your business name and USDOT or MC number
The certificate holder’s name and full mailing address
The email(s) to send it to. You can list more than one email.
When you need it

Most delays come from a missing or partial holder address.

Additional insured or waiver of subrogation? Attach the holder’s requirements and we’ll check your policy first.

Email your request

The button opens an email with these lines ready to fill in.

Need one again? Just reply to your last certificate email.

Prefer a form? Use the one below. It asks for the same details.

A certificate isn’t a federal or state filing. For the filings that keep your authority active, see Filings and certificates.

We check every request against your policy, and some wording needs an approved endorsement. A certificate doesn’t change, extend or add coverage, or give anyone rights the policy doesn’t provide.

Something else? Send us a message

Broker, shipper or lender? To verify a certificate we issued, call (305) 776-9420 or email certificates@pharosins.com.

See our Text Messaging Terms and Privacy Policy.

Rather talk it through?

Call us during business hours.

Call (305) 776-9420

English & Spanish spokenSe habla español