OVIA Insurance Services - "In It For The Long Haul"
                           Please fill out ID CARD request form below
                                        (Requests processed during business hours 8:30am - 5:00pm) 
ID CARD REQUEST
NAME INSURED
POLICY #
YEAR OF VEHICLE
MAKE
VIN
FAX # YOU WANT ID CARD SENT TO
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Please fill out the Certificate Request form below:
                      (Requests processed during business hours 8:30am - 5:00pm)
 
If during normal business hours [8:30am-5pm EST] you have not received your certificate within 15 MINUTES please contact our office at once (954-975-0442).
 
 
CERTIFICATE REQUEST FORM
NAME INSURED
CERTIFICATE HOLDER
ADDRESS
PHONE
FAX ( WHERE YOU WANT IT SENT TO)
ADDITIONAL INSURED
Option #1 (FEES MAY APPLY)
LOSS PAYEE
Option #1
 
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