Blue Lagoon Insurance Services

Certificate Request

Request a certificate of insurance for your policy

Need it urgently? Call (818) 306-8333
Certificate Information

Fill out the form below and we'll prepare your certificate of insurance

Certificate Holder Information

PDF, DOC, DOCX, or image files (Max 10MB)

By submitting this form, you authorize BLIS to prepare and issue a certificate of insurance on your behalf.

Fast Processing

Most certificates issued within 1-2 business days

Accurate Information

We verify all details before issuing

Direct Delivery

Sent directly to the certificate holder