Clone of Express Request Form - Certificate of Insurance (COI)

  • Certificate of Insurance (COI) Request

  • Client Authentication

    Certificate of Insurance Request – Need your PIN to request your COI? When you became a client, we sent you a unique PIN in your welcome email. You'll need that PIN to complete this Certificate of Insurance request. This form is for existing clients only. If you don’t have your PIN or can’t find it, please reach out to us and we’ll be happy to assist you.

  • Search for Certificate Holder:

  • Would you like us to search for the Certificate Holder in our records, or would you prefer to enter the information manually?*
  • Search with USDOT or Name & Zip?*

  • Certificate Holder Information:

  • Would you like the Certificate Holder added as an Additional Insured?*
  • Please note that adding a certificate holder as an Additional Insured may result in an additional premium. Would you like us to proceed with this request without prior confirmation of any additional premium?*
  • Is there any specific wording or special instructions that need to appear on the Certificate of Insurance?*
  • Are you ready to submit this Certificate of Insurance (COI) request?*

  • Once you’ve submitted this form, you can request additional services at any time by visiting our Express Request Page.

    If you have questions or need assistance, our service team is happy to help — call 1-888-976-9222 or email Service@eagleni.com.

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