Request a Certificate of Insurance, Claim History, or Declarations Page

1. Complete the Policyholder Services Department (PHS) Request  Form, indicating items desired.

2. Submit your completed Request Form and respective signed authorizations, as required, to our Policyholder Services Department utilizing one of the following options:

  • Fax to: (212) 300-9388
  • Scan and email to: PHSfax@mlmic.com
  • NEW! Take a picture of the documents with your mobile device and email them to us at: PHSfax@mlmic.com