Jefferson County Insurance & Financial Services, Inc.
93 and 59 Hwy.
Oskaloosa, KS 66066
785-863-2261
FAX 785-863-2390
email JCI

Request a Certificate of Insurance

Internet presence, production and hosting
Copyright © 1997-2008 theWebster All Rights Reserved
Baldwin City, KS 66006

Insured name:
Contact name:
Contact phone:
Holder name:
Holder street address:
Holder city, state, & zip:
Holder fax number or email address:
Additional Comments
Please give any additional comments or questions
No coverage of any kind is bound or implied by submitting information via this online form. We will not distribute information to other parties other than for insurance underwriting purposes. By checking the box below you agree to release us from any liability should this information be accidentally viewed by others. YES! I Agree