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Request a certificate for proof of insurance.

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Home » Service Center » Request Certificate

Need proof of insurance? We can help with that. Submit your request for a certificate of insurance to get started.

Request a Certificate From Black Insurance Group

Need proof of coverage with a certificate of insurance? Fill out the form below and we’ll be in touch.

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Name

First Name Last Name

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Information About the Certificate Holder

Certificate Holder Name

Certificate Holder Mailing Address

Street Address Address Line 2 City State/Prov./Region ZIP/Postal Country

Certificate Holder Email

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About Black Insurance Group

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121 East 2nd Street
Erie, PA 16507

814-453-6746
800-840-9104 toll-free
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Visit Our Erie, PA Office

Experience the Value of Black Insurance Group

At Black Insurance Group, our mission is to provide thoughtful insurance options that reflect the needs of our clients. We work closely with leading national and regional carriers to offer choices that empower you to make informed decisions about your coverage.

We are licensed in PA, NY, OH, WV, MD, NC, NH, AL, IA, CT, and CA #0M85891.