Please allow 5-7 business days. All COI's are valid January 1st thru December 31st of the current calendar year.
Name of person requesting the COI
Email of person requesting the COI
When is the COI needed?
Is this COI for a troop or a SU?
What is the troop # / SU name?
Name of certificate holder (IE: name of school, name of facility, name of church, etc)
Street Address of certificate holder
Town/City of certificate holder
State of certificate holder
Zip Code of certificate holder
Does the certificate holder need to be listed as "Additionally Insured"?
What is the purpose of the COI? (IE: meetings, events, cookie booths)
Are there any other special instructions?
Who should we send the completed COI to?
First & Last Name
Should be Empty: