Charles James Cayias Insurance, Inc.
2150 South 1300 East, Suite 100, Salt Lake City, UT 841006
Office: (801) 488-0085 Fax: (801) 463-6683
Contact: Jalene Dipietro - email@example.com or
Brianne Bennett - firstname.lastname@example.org
Adding a Driver: Information Must be Completed on Every Driver: If you are adding more drivers, please fill out an additional "Adding a Driver" form for each.
All Drivers must meet the underwriting guidelines!
Pilot/Escort Driver Certification(s)? Include a legible copy of all your Certification Card(s)
If you have Professional Liability (PL) Coverage, Certification from one of the following states, Utah, Colorado, Florida, or Oklahoma is required. If a driver does not have a certification from one of the mentioned states, the driver will not qualify for any Professional Liability Coverage.
Please provide a copy of the MVR. If a copy is not available, it will be an additional $15 for each MVR ordered through our office.