Liability Insurance Certificate Request

Liability Insurance Certificate Request
Girl Scouts of Greater South Texas provides liability insurance certificates for authorized Girl Scout troop and Service Unit activities, events, and facility use. To request a liability insurance certificate, please complete the form below. For compliance purposes, approved certificates will be sent directly to the facility, organization, or business identified in this request and will not be provided to individual members or volunteers.

Important Information:
- Liability insurance certificates are available only for approved Girl Scout troop and Service Unit activities.
- Requests must be submitted by a currently registered Girl Scout member or approved volunteer.
- Certificates will be sent directly to the facility, organization, or business listed on this request.
- Submission of a request does not guarantee approval or coverage.
- Additional insured endorsements or special insurance requirements may require additional review and processing time.
- Activities must comply with Girl Scouts of Greater South Texas policies, Safety Activity Checkpoints, and volunteer requirements.
- If event details change after submission, a new request may be required.
- Please allow 3-5 business days for processing.
  
  All requests are subject to review by Girl Scouts of Greater South Texas.
Troop Number/Service Unit
Girl Scout Volunteer Name

First NameLast Name
Girl Scout Volunteer Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Girl Scout Volunteer Email Address
example@example.com
Volunteer Role

Other
Business/Facility Information
Business Contact Person

First NameLast Name
Business/Facility/Organization Name
Business/Facility Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Brief description for requesting Liability Insurance Certificate
Has the facility or organization provided specific insurance requirements (additional insured wording, limits, endorsements,etc.? If yes, please upload requirements/documents

Cancelof
Signature
Should be Empty:

Liability Insurance Certificate Request

Business/Facility Information