USI Home
USI Human Resources
USI Insurance Solutions
Products
Business Insurance
Personal Insurance
Health Insurance
Staff
Quotes
Certificates
Map
Home
Contact Us
(843) 436-2106
(888) 220-9684
(843) 546-1638 FAX
info@theusigroup.com
1309 Highmarket Street
Georgetown, SC 29440
Insurance Solutions
Human Resources
Certificates of Coverage
Contact Information for the Insured:
* are required
*
First Name:
*
Last Name:
Type of Certificate
WC
General Liability
Certificate to be sent to:
*
First Name:
*
Last Name:
*
Address:
Address (2):
*
City:
*
State:
*
ZIP:
Phone:
Email:
FAX:
Additional Information
Questions or
comments
Submit