Look below this form for other additional ways to submit insurance info.
Form Object

Instead of submitting this form:
Have your insurance carrier add the following as a certificate holder on your policy:

USAWeb / Repoman.com
C/O RCS (Recovery Compliance Solutions)
10805 Sunset Office Dr #300
St Louis, MO 63127
Fax: 314-732-1377
submitcertificate@recoverycompliance.com

or print and fax this letter to them: Click Here for the letter.