Certificate of Insurance Request Form

For security purpose we changed the way COIs are requested.

Please follow one of the options below to request a COI:

1) Please send an email to coi@brzinsurance.com using the email we have registered for your company. Please state your company’s name and the company, address and email where you want the COI to be sent.

If you have any questions please call us at 508-603-6777.