Request a Certificate?

Request a certificate of insurance ACORD for an Embroker-insured customer. Need help? Contact hello@embroker.com or 1 844 435 2765.

  • Insured
  • Certificate holder
  • Coverages and requirements
  • Preview

Add insured or Sign in to prefill this section

required fields
(insured)
insured:
the business protected under an insurance policy
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Enter valid email

Add certificate holder

required fields
(certificate holder)
certificate holder:
the business that is provided a certificate of insurance from the insured.
This field is required
This field is required
This field is required
Enter valid email
We'll send the certificate to this email address.
Reference ID
Reference ID:
i.e., location address, contract ID, site number, etc.
Type it exactly as you want it to appear on the certificate.

Add coverages and requirements

Additional
insured
Additional insured:
a business that is included or added as an insured under a policy at the request of the named insured
Waivers of
subrogation
Waivers of subrogation:
an agreement which prevents a business and its insurance company from seeking a share of any damages paid from a client / certificate holder
Primary and
noncontributory
Primary and noncontributory:
a primary policy must pay before other applicable policies, and a noncontributory policy cannot seek contribution from other policies that also claim to be primary
  • Additional insured
    Additional insured:
    a business that is included or added as an insured under a policy at the request of the named insured
    Waivers of subrogation
    Waivers of subrogation:
    an agreement which prevents a business and its insurance company from seeking a share of any damages paid from a client / certificate holder
    Primary and
    noncontributory
    Primary and noncontributory:
    a primary policy must pay before other applicable policies, and a noncontributory policy cannot seek contribution from other policies that also claim to be primary
List additional insured other than certificate holder. Type it exactly as you want it to appear on the certificate.

Preview certificate request

Insured:

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Certificate holder:

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Coverages and requirements

Add additional requirements and/or Upload a document Remove document -or- View (i.e., previous certificate, contract, certificate requirements).