Request a Certificate of
Insurance

Do you need a certificate of insurance to show proof of insurance or just for your records? If so please complete the following form below! Remember you can also request a certificate of insurance by calling or e-mailing us at services@jvrcinsurance.com.

If you require multiple certificates, or a unique certificate with special wording and or requests, please contact us at 818-735-7600 for assistance.

Request a Certificate From JVRC Insurance
Services

Fill Out the Form Below to Request Proof of Insurance from JVRC


    Contact Information

    Information About the Certificate Holder

    Certificate Holder Mailing Address


    Certificate Holder Type

    What policies that you currently have in force need these special endorsements?

    If you’d like, attach a Copy of Certificate Request


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    If you do not have a digital copy of your request, you can fax it to: 818-698-6401 or mail it to: JVRC Insurance 5707 Corsa Avenue Suite 105 Westlake Village, Ca 91362 | Files must be less than 2 MB. Allowed file types: gif jpg png txt rtf odf pdf doc docx xls xlsx

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    Please do not include sensitive, private information in this area.

    Frequently Asked Questions about Business Insurance

    Are all California businesses required to carry Workers Compensation Insurance?

    ALL California employers must provide coverage for their California employees

    Why is California Workers Comp Insurance so expensive?

    Largely because of claims that occur, experience modifications, fraud and payroll amounts statewide

    Where do we get the information we post on our blog site?

    The Department of Insurance website, The WCIRB, The Insurance Journal and many other trusted sources

    What is an experience modification?

    It’s a percentage that compares the payroll and loss history of your company to a similar-sized company within the same industry. For example, if a company has a better than average loss record, their experience modification would be less than 100%. If that is the case you would receive a credit on your Workers Comp rates. If that is not the case however it would result in the opposite, an increase in rates. The experience modification can be closely compared to an individual’s credit score.

    Why is Workers Compensation Insurance a necessary requirement?

    It is illegal in the state of California to not carry it. There will be penalties, fines and many other consequences if a worker is injured and you do not carry it. Furthermore if there is a claim and you do not have California Workers Compensation Insurance at the time the employer is still liable for all costs relating to the injury which can be devastating to any company.

    How does your insurance carrier determine what your experience modification number is?

    This is calculated based on your payroll, premium paid and by your reported losses for the last three consecutive years

    Who regulates and makes California Workers Compensation laws?

    The Department of Insurance regulates the laws and the State Senate makes them

    What is a Classification or a class code?

    It’s a component used determine the price an employer pays for their workers’ comp insurance premium. Classifications are established for each industry and typically include all jobs or operations within a particular business.