Get Texas Department Of Transportation Certificate Form

Filling out the Texas Department Of Transportation Certificate Form online can seem challenging, but this guide will help you navigate each section with confidence. Follow these steps to ensure you provide all the necessary information accurately.

Follow the steps to complete the form online carefully.

1. Click ‘Get Form’ button to access the form and open it in your editing tool.
2. In the 'Insured' section, fill in your legal company name, including any 'doing business as' (DBA) name. Ensure that this information matches your insurance documents.
3. Provide the street or mailing address of the insured entity alongside the city, state, and zip code.
4. Enter the phone number of the insured entity in the designated field.
5. For workers’ compensation insurance, enter the carrier name, address, policy number, effective date, and expiration date. Make sure the coverage is endorsed with a waiver of subrogation in favor of TxDOT.
6. Continue with the commercial general liability insurance section by entering the required values, including the carrier name, address, policy number, effective date, and expiration date. Remember to indicate that TxDOT is an additional insured.
7. If applicable, fill in details for the business automobile policy, following the same requirements and including the carrier information.
8. Complete the umbrella policy section if one is relevant. Similar details as noted above should be provided.
9. In the agency section, provide your agency name, address, and authorized agent’s phone number. Ensure the authorized agent signs and dates the form.
10. Review all provided information for accuracy. Once confirmed, save your changes, and download the completed form.
11. Finally, consider printing or sharing the document as needed. Ensure you send it to the appropriate Texas Department of Transportation address or fax number noted in the form.

Start completing your Texas Department Of Transportation Certificate Form online today!