To reach a specific Mitchell Insurance Representative - Click Here 

LIABILITY CERTIFICATE REQUEST FORM (All Fields Required)
 

 First Name (of insured)
 Last Name (of insured)
 Company Name
 Insurance Company
 Policy Number
 Insured Contact Phone
 Cert. Holder's Name
 Cert. Holder's Address
 Cert. Holder's City
 Cert. Holder's State
 Cert. Holder's Zip Code
 Cert. Holder's Phone
 Cert. Holder's Fax
 Does Cert. Holder Need to
 be named as "Additional
 Insured"? (Yes / No)
 Special Instructions

For claims after normal business hours (evenings, weekends or holidays), or to contact the insurance companies directly for assistance 24-hours/day, 7-days/week, please use the following numbers;
Erie Insurance 1-800-367-3743
1-800-552-3743 (auto glass claims only)
1-866-ERIE-NOW (ID recovery claims only)
Grange Insurance 1-800-445-3030
Progressive Insurance 1-800-925-2886
Travelers Insurance 1-800-252-4633 (auto/home)
1-800-772-4482 (boat)
1-800-505-0193 (flood)
Merchants Insurance 1-888-644-6680
MetLife 1-800-854-6011
Infinity 1-800-334-1661
Ohio Fair Plan 1-800-282-1772


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