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COI (Certificate for Insurance) Request Form

COI IMAGE

Please submit this form to request a Certificate of Insurance (COI) to submit a COI for a company, organization, or location, that needs proof that the Girl Scouts of Hawai`i are covered by their own insurance policy. Please allow 7 to 10 business days to process your request, if this is a rush request please contact Customer Care after submitting this form.

*Please note: This is not to request additional insurance (Plan 2, Plan 3E, etc.) required for non-member participants at a program.

 
 
 
 
 Troop
 Service Unit
 Council
 
 
 
 
 
 
 
 
 
 Yes
 
 Do they request to be "additionally insured"?
 Are there any specific amounts of Liability insurance?
 
*
 
 

Thank you for submitting your information. We'll respond to you as soon as possible. If you have any questions or changes, please contact Customer Care.