Request Form for Certificate of Insurance

A certificate of insurance provides evidence of the College’s insurance coverage to outside parties. It is issued by the College’s insurance broker and contains the broker’s authorized signature. The request form for a certificate is below.

Once electronically submitted, the request form is sent to the College's insurance broker directly for processing. The typical turnaround time is 3 to 5 business days so please allow enough time to request the certificate prior to the event or need. However, if an urgent certificate is needed, please note the urgency in the "Special Instructions" section of the form and every effort will be made to expedite your receipt of the certificate.