Get Certificate Holder/additional Insured Request Form - Aim ...

Filling out the Certificate Holder/Additional Insured Request Form is essential for ensuring that the necessary parties are recognized as insured under your policy. This guide will provide you with clear, step-by-step instructions on how to complete this form online, ensuring accuracy and efficiency.

Follow the steps to successfully complete the Certificate Holder/Additional Insured Request Form

1. Click the ‘Get Form’ button to access the form and open it in your document editor.
2. Begin by entering the insured information. Fill in the organization name, insured number, and complete mailing address including city, state, and zip code. Provide a board member's name and their phone number, and include a contact fax number or email.
3. Next, input the certificate holder information. Provide the name of the certificate holder and their complete mailing address, including city, state, and zip code. Ensure all required fields marked with an asterisk (*) are filled out.
4. If applicable, enter the additional insured information. Similar to the certificate holder, provide the name of the additional insured along with their mailing address and contact information.
5. If required, include any additional insured wording and details about the event, such as the name/description of the event and its dates/times.
6. Lastly, ensure the board member representative signs and dates the form accordingly.
7. Once you have completed the form, you can save your changes, download it for your records, print it out, or share it as needed.

Complete your Certificate Holder/Additional Insured Request Form online today for efficient processing.