Insurance Broker Document Request Checklist
Ask for the smallest set of documents that resolves the review question. Describe why each item is needed so the broker can return the correct policy period and form.
Download the original TXT template
How to use it
- Attach the relevant agreement requirements and identify the insured, project and work dates.
- Request specific endorsements or excerpts instead of an indiscriminate full-policy request where a narrower record is sufficient.
- Track each requested item and the reviewer responsible for deciding whether it resolves the gap.
Customize the template
Your entries stay in this browser tab. Leave a field blank to keep its placeholder in the download.
BROKER DOCUMENT REQUEST Insured / project: [Business and project] Work dates / state: [Dates and state] Contract requirements reference: [Attachment or link] Request contact / deadline: [Contact and date] Documents requested: [ ] Current certificate for the relevant policy period. [ ] Required additional insured endorsement(s). [ ] Required waiver endorsement(s). [ ] Required primary/noncontributory evidence. [ ] Declarations or schedule resolving [Specific coverage question]. [ ] Relevant exclusion or policy excerpt resolving [Specific scope question]. [ ] State fund or authorized exemption evidence where applicable. Question for each open item: [Question and affected requirement] Preferred secure submission route: [Upload link or email] Unavailable document / alternative evidence: [Broker response] Reviewer resolution and date: [Decision]
Example in practice
A pollution liability question may require the relevant endorsement schedule and wording. Another copy of the one-page GL certificate will not answer that question.
Handle policies and underwriting records as confidential business documents. A broker’s explanation should be retained alongside, rather than substituted for, the applicable policy evidence.