Troop Certificate of Insurance Request

Troop Certificate of Insurance Request

Please allow 10 business days to receive the GSSEF Certificate of Insurance upon submission of this request. Once submitted, you'll receive an email that includes a copy of your Certificate of Insurance Request submission. For questions, email customercare@gssef.org.
Troop Number*
Service Unit*
Troop Leader Name*

First NameLast Name
Troop Leader Email*
example@example.com
New or Renewal Request?*

New RequestRenewal Request
Purpose of Request?*

Primary Meeting LocationCookie BoothEvent/Host an ActivityTemporary Meeting LocationOther
Location Name*
Location Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Location Contact Name

First NameLast Name
Location Contact Email
example@example.com
List Name/Names of organizations to be listed as additionally insured, or any additional information:
Broward County Troops: Broward County Schools reservation number from Facilitron
Today's Date*

MonthDayYear
Date
Should be Empty: