Express Request Service Center

General Service Forms

• Request a Certificate of Insurance for a current policy
  
  
• Request an Automobile/Equipment Coverage Change (PDF)
  
  
• Request a Property/General Liability Coverage Change (PDF)
  
  
• Check by Fax Authorization Form (PDF)

Specialty Program Forms

• Package Choice:
  
  
  • Add a camera or other item to your existing policy
    (if you have more than five items to add you can send them
    to photo-change@hillusher.com)
    
    
  • Remove a camera or other item from your existing policy
    (if you have more than five items to remove you can send them
    to photo-change@hillusher.com)
    
    
  • Change your mailing address

If you are reporting an injury for an injured worker and you have Workers Compensation coverage with us, you will need to complete the Employer Report of Injury Form, which is a fillable PDF form.