Online Certificate Request Form

We know that ministries are constantly involved in their communities. Whether it is a weekly sports night at a local school, a weekend retreat for the youth, or a block party; more and more organizations are requesting certificates for the use of their facilities.

As a way to better serve our clients, we ask that you complete the form below when requesting a certificate of insurance. This will enable us to quickly assess your needs and get the certificate into your hands in time for your event.

*Denotes Required Field
  • One Time
  • Weekly
  • Proof of Insurance
  • Additional Insured Certificate

If the certificate is for an ongoing use, please identify the purpose of the event