Mazdak Insurance ¦ Medical Offices

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818.922.7779

Lic. 0E03943

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Mazdak Insurance Services

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Gross Annual Receipts: $

Annual payroll: $

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Building Limit Requested: $

Business Personal Property Limit Requested: $

Total Square Footage your Occupy:

Number of Owned Vehicles Registered to the Business:

Number of employees who regularly use their personal vehicle on company business:

Limits of Liability Requested: $1,000,000/2,000,000 - $2,000,000/4,000,000

Deductible: $500 $1,000 $2,500

Are you interested in Workers' Compensation - if yes provide FEIN:

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How can we help you?

Add Driver(s)

Request to Change of Address

Add Driver(s) and Vehicle

Request Insurance ID Card

Add Vehicle

Request Certificate of Liability Insurance

Remove Driver(s)

Request Evidence of Property Insurance

Remove Driver(s) and Vehicle(s)

Make a Payment Online

Remove Vehicle

File a Claim Online

Change Vehicle

Send Proof of Insurance to Lien Holder / Lessor

Contact Us

Important Notice

Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages.

Changes and payments to policies are not effective or binding until you or any party involved, receive official notice from either your insurance agent or your insurance company.

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Lump Sum Heart Attack & Stroke Insurance

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Mazdak Insurance Services

DOI: 0E03943

Phone: 818.922.7779

Fax: 888.381.7224

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818.922.7779

Mazdak

Insurance Services

First Name:

Last Name:

Submitting Form...

The server encountered an error.

Form received.

Message: Enter Your Message

Business Name:

Business Address: Enter Street Address - No PO Box

City:

State

Zip Code:

Work Phone:

Cell Phone:

Number of Employee: F/T

P/T

Gross Annual Receipts: $

Annual payroll: $

Email:

Building Limit Requested: $

Business Personal Property Limit Requested: $

Total Square Footage your Occupy:

Number of Owned Vehicles Registered to the Business:

Number of employees who regularly use their personal vehicle on company business:

Limits of Liability Requested: $1,000,000/2,000,000 $2,000,000/4,000,000

Deductible: $500 $1,000 $2,500

Are you interested in Workers' Compensation - if yes provide FEIN:

Image Verification:

Home

How can we help you?

Add Driver(s)

Add Driver(s) and Vehicle

Add Vehicle

Remove Driver(s)

Remove Driver(s) and Vehicle(s)

Remove Vehicle

Change Vehicle

Send Proof of Insurance to Lien Holder / Lessor

Request to Change of Address

Request Insurance ID Card

Request Certificate of Liability Insurance

Request Evidence of Property Insurance

Make a Payment Online

Contact Us

Important Notice

Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages.

Changes and payments to policies are not effective or binding until you or any party involved, receive official notice from either your insurance agent or your insurance company.

Individual & Family

Individual and Family Health Insurance

Dental Insurance

Dental & Vision Insurance

Short Term Medical Insurance

Accident Medical Expense

Accident fixed-benefit and Critical Illness

Lump Sum Cancer

Lump Sum Heart Attached & Stroke Insurance

Disability Insurance

Long Term Care Insurance

Travel Medical Insurance

Group Health Insurance

Group Dental Insurance

Group Vision Insurance

Group Disability Insurance

International Group Medical Insurance

Single - Trip

Multi - Trip

International Individual Medical Insurance

Single - Trip

Multi - Trip

Whole Life Insurance

Term Life Insurance

Final Expense

Children's Whole Life Insurance

Auto Insurance

Motorcycle Insurance

Boat Insurance

Non Owner Insurance

California Low Cost Auto Insurance

Homeowners Insurance

Condominium Insurance

Landlord Protection Insurance

Renters Insurance

Mobile Home Insurance

Customer Service

Health Insurance

Life

Personal Insurance

Menu

Home
Individual Health Insurance
Group Health Insurance
Whole Life Insurance
Term Life Insurance
Final Expense
Children's Life Insurance
Auto Insurance
Non Owner Insurance
Homeowner Insurance
Condominium Insurance
Renters Insurance
Refer A Friend
Contact Us

Mazdak Insurance Services