Commercial Welcome Video A message from our Director of Commercial Insurance. Contact Us Step 1 of 4 - Contact Info 0% Name* First Last Email* Location You Would Like To Contact:Columbia, MOLee's Summit, MOO'Fallon, MOSpringfield, MOShawnee - Overland Park, KSSeneca, MONeosho, MOClever, MOLamar, MOCarthage, MOPhone*By submitting your mobile number, you agree to receive periodic text messages from us. Standard messaging rates may apply. Policy Type or Question Type* Commercial Insurance Personal Insurance Are you a current client of our agency?* Yes No What is the nature of your inquiry?* General Question ID Card Request Policy Change Request Discuss A Claim Certificate of Insurance Request What date do you need this policy change to take effect?* DD slash MM slash YYYY Which vehicle do you need an ID card for (please enter year, make, and model)?*If you have the VIN, please enter it herePlease list the Additional Insured and/or Certificate HolderAdditional Insured and/or Certificate Holder Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Details regarding your question, policy change, claim or other request:*Disclaimer* By checking this box I understand that insurance coverage cannot be changed, altered or bound until I receive direct confirmation by a licensed agent representing Mid America Specialty Markets
