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Roderick Insurance Brokers

Certificate of Insurance

From time to time you may be asked to supply a Certificate of Insurance that confirms that your policy is current and what cover you have in place.

You can phone our office and request a certificate or for your convenience, we have supplied this online form that can be submitted.

  • Roderick Insurance Brokers can only supply Certificates of Insurance in compliance with the Privacy Laws.
  • Certificates can only be supplied for current and fully paid policies.*
  • This facility is for a confirmation of existing cover. If you require increased or additional cover you must contact us to ensure cover is placed.
  • Requests received outside of our normal business hours will not be deemed to be received until the next working day.

Please note RIB standard practice is to a issue Certificate of Insurance, however some interested parties require that a Certificate of Currency be issued by your Insurance Company. If this is required you will need to advise us in the comments below.

*Monthly policies are considered current as per the Direct Debit Agreement Conditions

 

* Your First Name

* Your Surname

 * Policy Insured Name
* Preferred Phone Number
 * Email Address
  

Roderick Ref
This appears on your invoice

Policy Number
This appears on your invoice

 

* Item requiring proof of insurance
Eg: Home Loan - we will need the address of the property insured.
Car Loan - we will need the registration number, make and model of the vehicle insured.
Business Insurance - we will need to know the item or policy section requiring confirmation

Interested Party
This is the company name that needs to be noted on the certificate

  

Where would you like us to direct this Certificate?

 other  

How would you like us to deliver this certificate?

Email

Post
Address
City
postcode
Fax
 Attention To:

* Please confirm you have the authority on this policy to request this information?

 Yes
No		  

When do you require this Certificate of Insurance?
Other comments