Request for Certificate of Insurance
The purpose of a Certificate of Insurance is to provide proof of coverage under Brown's insurance for University related events.
Please complete the form below, print a copy for your records, and e-mail or fax any supporting documentation to 863-1566. Be sure to ask if there is a contract or rental use agreement when securing the location of your event. Contracts need to be reviewed and signed by those who are authorized to do so.
This form serves as a formal request for a Certificate of Insurance from Brown University departments. It is important that you fill out all the fields of the form. If you have any questions regarding Certificates of Insurance, please contact the Insurance Office at 863-9481.