The following applications (Property & Liability and Workers' Compensation)
are available for either downloading in Acrobat (*.pdf) format or for
submitting online. To download the applications, right-mouse click on the
links and choose "Save Target As."
The Insurancenter Car Wash Program Property and Liability Application
Download PDF
Submit Online - Secured Site
The Insurancenter Car Wash Program Workers’ Compensation Application
Download PDF
Submit Online - Secured Site
|
You will need the Adobe Acrobat Reader to open and complete these applications. Click the Adobe button to download the FREE Acrobat Reader.
- Print the blank application and complete all requested information.
- Keep a copy for your records.
- Send the completed application using the information provided below.
|
Mail Address |
Fax |
Email |
Attention: Car wash Department
The Insurancenter
PO Box 940
Joplin, MO 64802-0940 |
(417) 626-2923 |
contactus@carwashinsurance.com |
Toll-Free Voice 1-800-444-8675 (not fax) |
