You have the option of requesting Certificates of Insurance on the following electronic form. It is important to include as much information as possible.To request a certificate of insurance for your account, please submit the form below. How do I fill this out? To fill out this document, first gather all required information such as your company details and insurance information. The plan is ACA compliant. Beginning in 2024, many small businesses are required to report information about their beneficial owners to the Financial Crimes Enforcement Network (FinCEN). Call (702) 871-4000 for business, car, life insurance and more. Get a free quote from State Farm Agent Clark Mantz in LAS VEGAS, NV. Learn more about the steps involved in coming to Clark, including orientation, applying for and obtaining your Visa, and arriving in the U.S..