Welcome to D.W. Kendall Insurance Agency!

We are an Independent Insurance Agency serving the Miami Valley and West Milton for over 80 years!  We offer Auto, Home, Farm, Business, Life, Health and Long Term Care Insurance Protection!  We're Independent - We Work For You!
Quote Forms:
Service Forms:






Request for Certificate of Insurance

First & Last Name:  
Street Address:  
City, State & Zip:  
E-Mail Address:  
Telephone:  
Fax:  

Recipient Information
First & Last Name:  
Street Address:  
City, State & Zip:  
Telephone:  
Fax:  
Attention:  
Job Reference:  

Do you want certificate faxed?  

Policies to Reference:  
Additional Insured:  
If Yes, give details
and which policies:  
Waiver of Subrogation:  
If Yes, give details
and which policies:  
30 Days Notice of Cancellation:  

Any Additional Comments or Instructions?