Certificate of Insurance Request
Complete this form to request a Certificate of Insurance. Certificates of Insurance will be sent via email, unless other arrangements have been made. Turn-around time is approximately 3-5 business days from the date this request is received. Contact hne@scouting.org with any questions.

Note: Our Insurance policy is valid from March 1 through the last day of February. The new policy is received in mid to late February.
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Email *
Unit Type *
Unit Number *
Unit Town *
Name of event *
Type of event *
Contact person *
Contact phone *
Date of event *
MM
/
DD
/
YYYY
Number of days *
Address *
City *
State *
Zip code *
Property owner name *
Property owner address *
Property owner city *
Property owner state *
Property owner zip code *
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