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General Certificate of Insurance

To request Proof of Insurance, please complete all fields and submit this form. 
NOTE: Incomplete information could result in the delay of your request.

Insured Information
Certificate Information
Requester's Information
Handling Method
Required Coverages
Additional Insured
Loss Payee
Mortgagee
PLEASE ALLOW A MINIMUM OF 48 HOURS TO PROCESS YOUR REQUEST. There will be a $20 processing fee for all Proof of Insurance. Rush requests will include a $25 processing fee.
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Carter Glass Insurance Agency
5901 Falls of Neuse Rd.
Raleigh, NC 27609
Phone: (919) 230-8760
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North Carolina License: #1000331173

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