Document Request

Request a Certificate of Insurance, Claim History, or Declarations Page.

  1. Complete the Customer Service Department (CSD) Request Form, indicating the items desired.
  2. Submit your completed Certificate of Insurance Request Form and respective signed authorizations, as required, to our Customer Service Department utilizing one of the following options:
    • Fax to: (212) 300-9388
    • Email the completed documents (scanned or mobile photos) to: CSD@mlmic.com