Certificate Request

Please Note: Your account must be in good standing with the carrier for your certificate to be issued.


    Who is the certificate holder and how would you like it sent?









    * = required

    Let’s Get in Touch

    We would appreciate the opportunity to present our services.

    Two locations to serve you

    East Douglas Insurance

    (508) 476-2101
    Fax (508) 476-1296
    P.O. Box 1370, 306 Main Street
    Douglas, MA 01516

    Hours: Monday - Friday
    8:00 AM - 4:30 PM

    East Douglas Insurance

    Cantiani Insurance Agency

    (508) 791-2088
    Fax (508) 799-0663
    318 Plantation Street
    Worcester, MA 01604

    Hours: Monday - Friday
    8:30 AM - 5:00 PM

    Cantiani Insurance