Use this form to request a duplicate copy of your policy, similar to what you received when you originally purchased the policy, or a certificate of insurance. Enter the following information for primary insured or policy owner.Policy Number, First name, Last name, Birthday, Month, Day, Year, Last 4 SSN. Return your completed claim form and all attachments to Washington National Insurance. Click here to download the claim form. Request a claim form online: Go to My.WashingtonNational. Com and click on the Forms tab. The following affiliated agreements and transactions were disclosed as part of the Form B Holding Company. The National Flood Insurance Program provides insurance to help reduce the socioeconomic impact of floods. You can complete an online application for some public benefits programs.