The highlighted questions contain errors. Please review and amend.

This site allows Hiscox small business policyholders to quickly request changes to their policy such as adding an authorized person or requesting an address change. Requests will be responded to within one business day and your updated documents will be emailed to you. If you are an agent looking to service your client’s policy, please click here to use this form instead.

If your request is urgent or if you have questions, please call us at 1-888-202-3007 (Mon-Fri, 7am-10pm ET).

If you need to submit a claim, please visit our claims center.

We will respond to all emails within 1 business day. If you have questions or need to speak with us regarding your request please contact us at (888) 202-3007, Mon-Fri 8am-10pm EST.

Are you a current Hiscox customer?

Policyholder Information

First Name*

Last Name*

Business Name*

Email*

State

Street

City

Zip

Policy/Quote Number

Phone number

How may we assist you today?

To report a claim, please click here

Please provide the name and address of the entity requesting the waiver of subrogation.

What is your relationship with this party?

Client

Landlord

Other, please explain

Please describe the professional services you will provide to this party (Limit 1000 Characters)

If you are an Architect, Engineer or Design professional we will require a copy of your contract with the waiver of subrogation insurance requirement and the detailed statement of work. Please email this to contact@hiscox.com.

Provide a description of your professional services (please provide more detail than "consulting", a brief description of what you do for your client will expedite handling) (Limit 1000 Characters)

Please provide any special wording required on the certificate.

Policy Servicing Request

How may we assist you today? (please select one or more of the following options)

Issue an additional insured an Acord certificate

Send an Acord certificate

Add authorized person

Address change

Business name change

Policy document request

Waiver of subrogation

Report a claim

Request a Loss Run

Other

Submit Documents

Please indicate which of your policies you would like to update:

Professional Liability (also known as Errors & Omissions)

General Liability

Business Owner Policy

Pricing

Do you agree to the 10% (Professional Liability and/or General Liability) or up to 15% (Business Owner Policy) increase in premium?

Please Confirm:

I give Hiscox Insurance Company Inc. my consent to automatically charge any additional premium using the credit card details on my policy.

Additional Insured Information

Landlord

Loss payee

Note: Please type the additional insured’s name exactly as you want it to appear on the documentation. Only one client name is allowed per Additional Insured endorsement. Multiple client names or client entities will be listed on separate endorsements.

Note: Please type the additional insured’s name exactly as you want it to appear on the documentation. Multiple landlord entity names for the same address may be listed on the same endorsement.

Name of Additional Insured (entity will be listed as a certificate holder on the ACORD)

Street

Secondary street (optional)

City

State:

ZIP code

Description of operations:

Please click here if your client or landlord requires specific language on the ACORD certificate. You understand and agree any language entered in the description of operations wording field does not alter or change any of the policy's terms and conditions.

Description of operations wording - some clients ask for specific language to be added to the ACORD certificate to meet their requirements. If your client has requested this, please enter it here. If not, please leave this section blank.

Please provide a description of the services you will perform for this client:

Please include a description of leased property and estimated value.

Please describe your relationship with the third party and why an Additional Insured status is being requested.

Acord Request

Certificate holder (the name of the business requesting a certificate of insurance)

Street

Secondary street (optional)

City

State:

ZIP code

Description of operations:

Add Authorized Person

Authorized Person First Name

Authorized Person Last Name

Role

Primary Phone Number

Email Address

Address Change

Street

Secondary street (optional)

City

State:

ZIP code

Square feet occupied at this address

Total number of business locations

Any change in business services, if yes please describe. (Limit 1000 Characters)

Business Name Change

Reason for change

Typographical Error

Other, please explain

Reason for change explanation
(Limit 1000 Characters)

Has your business experienced any of the following?

Adverse financial event

YesNo

Unreported claim or loss

YesNo

Change in services

YesNo

Change in control

YesNo

Merger, acquisition, or other change in ownership

YesNo

Business Name

Policy Document Request

Reason for Request

Resend Policy purchase documents

Other

Please advise what document/documents are requested

Questions / Comments (Limit 1000 Characters)

Questions / Comments* (Limit 1000 Characters)

Uploaded documents

You will receive a set of your most recent Hiscox policy documents via email within one business day.

Hiscox Agent

If applicable, please enter the name of the Hiscox Agent who requested these documents.

Please describe briefly what you would like us to do with these submitted documents.

If this is in response to a request from us, please provide a brief description regarding the reason we asked for these documents (as this request will be processed by a different individual than the one you spoke to or heard from earlier.)

Please limit your response to 1000 characters

Thanks for choosing Hiscox to protect your business.

You can find your policy number on the upper right hand corner of your policy documents or emails we've sent you.
Your policy number will follow one of these formats:
UDC-1234567-CGL-99
UDC-1234567-EO-99
UDC-1234567-BOP-99

Please click "Browse" and "Upload" to submit up to 5 files with a total size of 25 MB.
Acceptable files: PDFs, Outlook email files (.msg), HTML files, Word docs, Excel docs and jpgs.