Get Optimist International Certificate Of Insurance Request Form - Optimist

Filling out the Optimist International Certificate Of Insurance Request Form online is essential for obtaining proof of insurance for events organized by clubs and chapters. This guide will walk you through each section of the form to ensure your submission is complete and accurate.

Follow the steps to accurately complete the form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Indicate whether you are a current, active member of your organization by selecting 'Yes' or 'No'. This is crucial for verification purposes.
3. Fill in the 'Club/Chapter Name' and provide the 'Policy Number or Client Number' as indicated on the insurance documentation.
4. Provide your name, title, and address as the insured/member requesting the certificate. Ensure that your contact information, including telephone number and email address, is accurate.
5. Select your preferred method of receiving the Certificate of Insurance by filling in your fax number, email address, or mailing address.
6. Enter details about the event, including the name, location (address included), and the date of the event/function.
7. List the entity requesting proof of liability coverage, ensuring to note if the entity is a city, county, or state organization.
8. If the required limit of liability is outside the normal limits, mention the specified limits clearly.
9. Indicate if the entity is requesting to be named as an Additional Insured and whether they own the event location. Provide clarifications as needed regarding the relationship with the requesting entity.
10. Specify your club/group's involvement in the event by selecting whether you are sponsoring, volunteering, or participating in the event.
11. List your club’s functions and activities related to the event, providing detailed descriptions as necessary.
12. Respond to the questions regarding the serving of alcohol or food, participation in athletics, or usage of trailers/mobile equipment.
13. Ensure all sections of the form are filled out completely, and then provide your signature and date at the bottom of the form.
14. Submit your request by faxing or emailing the completed form to the specified contact information.

Complete your documents online to ensure a smooth application process.