If you would like to request a Certificate of Insurance please complete the boxes below. Please include your address in the additional information section. If you have a document from the party requesting the certificate, feel free to upload it by selecting the “Browse…”button (You can also fax to:704-375-5810 or email: HaLitaker@LitakerInsurance.com). Once completed, click the “Send Message” button and the information will be immediately sent to us. We would be more than happy to complete the request and send the certificate by email or fax on your behalf. Thanks for allowing us the opportunity to work with you on your insurance needs!