Certificates of Insurance
Unless otherwise specified, the forms below are provided in Adobe .pdf format*. Please note, in same cases, you may choose between Microsoft Excel format or Adobe .pdf format.
View Bulletin 10-01.
Certificate of Insurance Facts
Acord 24 (1/95) and Acord 25 (2009/01) that reflect an endorsement, amendment or reflect changes in the cancellation provision in the policy are not compliant with Bulletins 09-05 and 09-06. The following language must be placed in the description section of these forms:
"The cancellation portion of this certificate is left blank and no notice other than that provided by the policy is guaranteed, promised, or implied from the issuance of this certificate."
Please contact us with any questions regarding certificates of insurance.
Division of Insurance
SD Department of Labor and Regulation
445 East Capitol Avenue
Pierre, SD 57501
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