CERTIFICATE OF INSURANCE REQUEST

CERTIFICATE OF INSURANCE REQUEST – EVENTS

Complete this form for University of RI sponsored events being held at off campus locations or facilities. The certificate will provide the owner of event location evidence of the University’s General Liability Insurance coverage. Additional insured language can be included if indicated on the form. URI Certificates of Insurance (COI) will be processed within 3 business days and will be emailed directly to the University member requesting the certificate.

URI Department Name*
Department Contact Person:*
First Last
Department Email Address:*
Description and Details of Event*
Begin Date for Event:*
MM slash DD slash YYYY
End Date for Event:*
MM slash DD slash YYYY
Certificate Holder Name & Address:*
Phone
This field is for validation purposes and should be left unchanged.

Risk Control and Insurance

Protecting the University community, by promoting a culture of compliance and shared responsibility

CERTIFICATE OF INSURANCE REQUEST – EVENTS