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Ohio Department of Insurance ODI Services

 Online Certificate of Compliance Request
  • Complete all required fields below. Required fields are marked with an asterisk *.
  • ODI will send an invoice for the amount of $60.00 (per certificate) to the contact person or billing person.
  • If you have further questions, please call the Office of Risk Assessment at (614) 728-1753.
Insurer's Information
Insurer's Name: *
Tax ID or NAIC Number: 
Number of Copies: *
  If requesting Certificates for more than one Insurer, enter additional Insurer's Full Name, Tax ID/NAIC#, and number of copies in the field below.
Contact Information
Name: *
Company Name: *
Address Line1: *
Address Line2
City: *
State: *
Zip Code: * #####
Daytime Phone: * ##########
Billing Information (If different than Contact Information)
Company Name:
Address Line1:
Address Line2:
Zip Code: #####

The State of Ohio is an Equal Opportunity Employer

50 W. Town Street, Third Floor - Suite 300   Columbus, Ohio   43215
General Info: 614-644-2658  |  Consumer Hotline: 800-686-1526  |  Fraud Hotline: 800-686-1527  |  OSHIIP Hotline: 800-686-1578