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.

If you have an Agreement or Proposal for this Certificate of Insurance request, please email a scanned image to insurance.risk@ualberta.ca. Please submit your request at least five business days before you require the certificate.

 

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U of A Contact Information (Your contact details)
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Contact Information of Certificate Holder (Organization requesting certificate)
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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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