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Washington State Mandated Cares Fund

A Special Notice to Washington Residents, or those from Oregon or Idaho who work in Washington

Call: (509) 842-4525

Certificate of Insurance Request

You have the option of requesting Certificates of Insurance on the following electronic form. It is important to include as much information as possible. We will review your request, contact you if further information is required, and then send the certificate of insurance to the appropriate party(s).

Certificate of Insurance Request

* indicates required fields

General Information

Address of Holder
Handling Method

Required Coverages

Please Provide Copy of Insurance Requirements of Contract
Need Endorsements for Waiver of Subrogation?
Need Endorsements for Primary Wording?
Loss Payee
Mortgagee
Additional Insured
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Max. file size: 49 MB.
    Please attach written request(s) and/or contracts received, if any.
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    We found him to be very knowledgeable, personable, and exceptionally responsive.
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    Spokane, WA

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    Powell, WY

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    Spokane, WA

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    Joel was so helpful-he even arranged a conference call with my carrier…
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    Filing a ClaimTake advantage of the insurance carriers’ 24/7 Claim Support Service to report a claim directly to the insurance company or contact Agency Insurance. Learn More >

    Pay OnlinePay your premiums by EFT (Electronic Funds Transfer), e-check or by credit card.
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    Shaking handsSubmit a form to request a change to your current insurance policy.
    Learn More >

    Below is a link to the state of Washington government website that oversees the state mandated long-term care insurance program known as the Cares Fund. The website provides up-to-date, real time information about how the program is being administered, recommended improvements to the plan from a special oversight taskforce, and the ability to participate in Zoom meetings relating to the Cares Fund and the opportunity to provide comments and suggestions to state legislators and administrators of the program.

    Cares fund website information