First Associated

Wisconsin’s trusted independent insurance agency for more than 50 years!

Electronic Delivery of Certificates of Insurance

In an effort to be more efficient, we are asking that you submit this form, so that in future requests we will be able to just email you the requested Certificates of Insurance rather than having to mail them. This will help speed up the process and make it more automated.

"*" indicates required fields

Please enter the Insured’s name as listed in the box on the upper left-hand side of the Certificate of Insurance.
Please enter the Certificate Holder’s name as listed in the box on the lower left-hand side of the Certificate of Insurance.
Please enter the email you would request the future Certificates of Insurance be sent.