Note: You do not need to use this form unless you are unable to find the specific carrier that you are looking for.

What happens when you fill out this form and click Submit?

CarrierWatch will send the information to the CarrierWatch support team. They will research the carrier and if necessary create a new record in the database.

If you click the "Loading Today?" option, a member of the support team will pick up the phone immediately and attempt to procure proof of insurance in the form of a certified certificate of insurance from the producer. It is important to give us your name and phone number so that we can contact you in the event of an issue.

Alternatively, you may call our CarrierWatch hotline at 1.800.551.8832 to make the request by phone.