90 MacCorkle Avenue S.W.
Suite 203
South Charleston, WV 25303
Toll Free WV:  1-800-345-4669
Phone: (304) 766-2646
Fax: (304) 766-2653

 

Underwriting Department

Underwriting Manager Jerry Gladwell ext. 103 Jerry.W.Gladwell@wv.gov
Underwriter Charles Nelson ext. 115 Charles.B.Nelson@wv.gov
Underwriter David Mason ext. 126 David.W.Mason@wv.gov
Insurance Program Specialist Tonya Pugh ext. 118 Tonya.J.Pugh@wv.gov
Insurance  Assistant Deanne Turley ext. 128 Deanne.R.Turley@wv.gov
Office Assistant I Lori Bailey ext. 124 Lori.D.Bailey@wv.gov

State of West Virginia Auto Insurance

 

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)

Property Addition Form 

 

Supplemental Forms

 

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

Workbased Learning Program
(Work-Based Coordinators Only)

 

 

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