To request a Certificate of Insurance, Waiver of Subrogation Endorsement, or Evidence of Coverage Certificate for a client, please complete ALL required fields.

If you are unclear on the information being requested, help text is available by hovering over each field.

Please inform the Client that all documents will be emailed directly to them and the certificate holder.

All Certificates and Waivers of Subrogation will be emailed from and the email subject line will include: "Sequoia One - Client Name WC Cert/Waiver

If the certificate holder elects to receive a paper copy via USPS mail, please check Yes at the bottom of this form.

Request a Certificate

ALSO Send via USPS