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Get PA SWIF Request for Certificate of Insurance 2008-2024

Itted in writing, either by means of fax at the number provided below, or mailed to 100 Lackawanna Ave, Scranton, PA 18505. Thank You. ATTENTION: CERTIFICATES DEPARTMENT TO: SWIF (Fax 570-963-3079 or 570-941-2109) Date:_________________________ FROM: ______________________ Contact Number: (____)__________ (This contact number should be for the certificate holder.) Policy Holder:_______________________ Policy Number:______________________ Certificate Holder (business to which proof of insu.

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