Document Upload – Insure with BiZ

Text/Call (773) 777-1040 | Email Us at insurance@biz1040.com

Use this form to securely send documents related to your quote, policy, claim, certificate, renewal, or account.

You may upload multiple files at once. Accepted file types include PDF, JPG, PNG, HEIC, DOC, DOCX, XLS, and XLSX.

Your Information

First Name *

Last Name *

Email Address *

Phone Number *

Business Name, if applicable

Document Details

What are these documents for? *

Policy Type

Policy Number, if available

Insurance Carrier, if known

Please describe what these documents are for

Upload Files

Upload documents *

You may select multiple files at once.

Upload photos, if applicable

Examples: accident photos, damage photos, property photos, vehicle photos, or inspection photos.

Upload additional supporting files

Examples: declaration pages, driver lists, vehicle schedules, invoices, estimates, contracts, certificates, loss runs, or signed forms.

Additional Notes

Message or instructions

Uploading documents does not bind or change coverage. Any policy changes, claims, or coverage requests must be reviewed and confirmed by the agency or insurance carrier.