Certificate of Insurance Request Form

For general information regarding Certificates of Insurance (COI's), please click here.

For a COI request involving SFU owned or borrowed Fine Art, please click here.

Part A: Your SFU Contact Information

Items from this section will not appear on the COI

Your Position

Part B: Your SFU Supervisor's Contact Information

Items from this section will not appear on the COI

Legal Signatory: if you are asked for a legal signatory contact, that will be your departmental representative; usually at the chair, dean, or director level.

Part C: Certificate Holder Information

(The non-SFU organization requesting the COI from you)

Items from this section will appear on the COI

What non-SFU organization is requesting proof of insurance from SFU?

Who is your primary contact at the requesting non-SFU organization?

Part D: Description of the Activity

Items from this section may appear on the COI

Who will be directly involved in this activity? (select all that apply)

Part E: Required Insurance Coverage

Items from this section will appear on the COI

"Additional Insured" is a legal term providing the certificate holder with additional rights under the SFU policy. Generally, this status is only granted if it has been agreed to in a written contract. You may upload the written contract using the additional information section below. please note that American Hospitals or similar organizations cannot be added as Additional Insureds

Please note that American Hospitals or similar organizations cannot be added as Additional Insureds

Part F: Additional Information (Optional)

Please feel free to include any further documents or information that you feel may help facilitate this request.

 

A confirmation screen will appear once you have successfully submitted your form.

Risk Management will contact you if additional information is needed in order to issue a certificate. Please allow a minimum of 3-4 business days for your COI request to be processed.

Relevant Links

Contact Risk Management if you have additional questions in regards to Certificates of Insurance.