Employees Insurance

Employees Insurance
2645 O’neal Lane
Building B, Suite A
Baton Rouge, LA 70816
in the American Plaza Office Park

Mailing Address:
P.O. Box 40015,
Baton Rouge, LA 70835

PH - 225.273.1471
FAX - 225.273.1478
Email Us



  Request For Certificate of Insurance
My name:
My firm's name:
Name of Certificate Holder:
To the attention of:
Address:
 
City,                                   State,   Zip
Email:
Fax:

Please check your contract to determine the insurance requirements. Note that we cannot show coverages that Employees Insurance does not handle for your firm.

COVERAGES TO BE SHOWN ON THE CERTIFICATE

Business Automobile
Business Liability
Property
Flood
Workers' Compensation

Special requirements or instructions:

Transmittal Instructions
Certificate Holder's Copy Mail Fax # / Email
My Copy Mail Fax # / Email

Other Transmittal Instructions:


 
© 2007 Employees Insurance