Document Request
Request a Certificate of Insurance, Claim History, or Declarations Page.
- Complete the Customer Service Department (CSD) Request Form, indicating the items desired.
- 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