Certificate of Insurance Request(Proof of Insurance)

Certificate of Insurance Request(Proof of Insurance)

Use to request proof of insurance for an event(school field trips, workshops, athletic practices, dances, award ceremonies, competitions, etc.

Submitter Name Submitter Name First Last
Enter your name
Submitter Phone Submitter Phone - ### - ### ####
Submitter Email
School Name
Information regarding event
Brief Description of Event
Date(s) of event
Location of event(venue name and adress)
Venue contact and phone number
Is this event work related?
Is attendance required?
Is this event a school/district sponsored event