Request a Certificate of Insurance Your Name(Required) First Last Your Email(Required) Enter Email Confirm Email Stratford Insurance Group Business Client Name(Required) Full Name Email Address of Recipient(Required) Enter Email Confirm Email Certificate Holder Name(Required) Full Name Certificate Holder Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Additional Insured/Waiver of Subrogation Needed?(Required) Yes No Any special verbiage required?