Get Request For Certificate Of Insurance Form - Nawic :: Region 12

Filling out the Request For Certificate Of Insurance Form - NAWIC :: Region 12 is a crucial step for ensuring coverage for events hosted by chapters. This guide provides clear instructions for completing the form accurately and efficiently.

Follow the steps to complete the form online:

1. Click ‘Get Form’ button to access the form and open it for editing.
2. Begin by entering the chapter name and chapter number in the designated fields.
3. Indicate the region number associated with your chapter.
4. Fill in the name of the member requesting the certificate, along with their company details, address, and contact information.
5. Answer whether the chapter is sponsoring the event by selecting 'Yes' or 'No'.
6. Provide the name and a brief description of the event or chapter function.
7. Specify the location of the event by entering the address, city, state, and zip code.
8. Select the event date from the provided date field.
9. Estimate the attendance for the event and enter it in the appropriate field.
10. Indicate if there is an admission charge or donation and provide the necessary amount.
11. Answer if food or beverage will be sold or served by the chapter. If applicable, include further details.
12. Enter the name and address of the facility requesting proof of liability.
13. Indicate whether the facility is requesting to be named as additional insured and provide any special wording if necessary.
14. Choose whether the certificate should be sent to the member or directly to the facility.
15. Sign and date the form where indicated.
16. Submit the completed form to the NAWIC office either by mail or fax, ensuring it is sent at least two weeks prior to the event.

Start filling out your Request For Certificate Of Insurance Form online today!