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Home » Service Center » Request Certificate

Need proof of insurance? We can help with that. Submit your request for a certificate of insurance to get started.

Request a Certificate From David Galarza Agency

Need proof of coverage with a certificate of insurance? Fill out the form below and we’ll be in touch.

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About David Galarza Agency

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602 Mantoloking Road, Unit 4
Brick Township, NJ 08723

I Am licensed in NJ, NY, FL, OH, DE, PA, and TN

732-576-7700
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732-481-1636 fax

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Planning for Life’s Uncertainties Together

Headquartered in Brick Township, NJ, David Galarza Agency is an independent insurance agency here to help you plan for your future. Across personal and commercial lines, our friendly staff works hard to help you feel secure whether you’re just starting your career, approaching retirement, and every phase of life in between.