Request a Certificate of Insurance

Important:  Please note that the Certificate Holder is the organization requesting the Certificate.  It cannot be the University of Alberta.
Please note that the Certificate will be forwarded to the U of A contact as stated below.

certificate-of-insurance

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U of A Contact Information
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Contact Information of Certificate Holder
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Nature of the Operations for this Certificate
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This certificate is for

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Is the requesting party asking to appear as an additional insured?

Type of Insurance Required
General liability

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Automotive liability?

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Note