Placing Quoted Business

We look forward to working with you!

You can apply for the car wash insurance program by downloading the application and sending it back via fax to 417.626.2923 or by emailing carwash@carwashinsurance.com


Applications

Self-Service Car Wash / Exterior Car Wash (Customer Keeps Control of Vehicle)

Full-Service Car Wash(Employee Takes Control of Vehicle)

Car Wash Workers' Compensation Coverage 

Please note: All brokers are required to submit a copy of their agency license and an Errors & Omissions Certificate for verification purposes. Once we bind coverage for your first submission, you will be mailed a broker kit with a Broker Agreement that you will need to complete, sign and mail, fax or email back to us.