Additional Insured

CURRENT PROCESSING TIMES IS 3 BUSINESS DAYS

Please click on the link below to use the PDF fillable form.

WCA Additional Insurance (AI) Request Form

If you are able to add an electronic signature, please do else leave blank.

PLEASE DO NOT USE THIS FORM TO CORRECT AN ADDITIONAL INSURED ALREADY SUBMITTED!
For modifications, please email the office at manager@worldclown.net with the current Additional Insured Certificate of Insurance that requires the change as an attachment with an explanation of how it needs to be edited. 

PLEASE MAKE SURE THE WORDING THAT YOU ARE ENTERING IS CORRECT.