90 MacCorkle Avenue S.W.
Suite 203
South Charleston, WV 25303
Toll Free WV:  1-800-345-4669
Phone: (304) 766-2646
Fax: (304) 744-7120

 

Underwriting Department

Underwriting Manager
Underwriter Jeffrey Lawrentz ext 57610 jeff.p.lawrentz@wv.gov
Insurance Program Specialist Tonya Pugh ext. 57619 Tonya.J.Pugh@wv.gov
Insurance  Assistant Deanne Stevens ext. 57621 Deanne.R.Stevens@wv.gov
Office Assistant I Lori Bailey ext. 57601 Lori.D.Bailey@wv.gov

State of West Virginia Auto Insurance

 

2014 Policies

2013 Policies

2012 Policies

2011 Policies

2010 Policies

2009 Policies

2008 Policies

2007 Policies

2006 Policies

Underwriting Information

Renewal Questionnaire
(Authorized Agents Only)


Instructions  

Certificate Request Form       word.gif (167 bytes)

Certificates of Insurance

(Authorized Agents Only)

 

Supplemental Forms

 

Physician/Hospital Professional Liability Supplemental Questionnaire           word.gif (167 bytes)

Workbased Learning Program
(Work-Based Coordinators Only)

 

 

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