Certificate of Insurance Request Form
This form may be used to request a Certificate of Insurance for your outing, event, or meeting place. Please allow TWO WEEKS for the processing of your request.

COI's will now be prepped by your District Executive's. Please contact them with questions or concerns:
Adirondack - chris.harloff@scouting.org
Fort Orange - jacob.horner@scouting.org
Mohawk - thomas.blackmon@scouting.org
Turning Point - erica.marion@scouting.org
Yankee Doodle - julie.vanamburgh@scouting.org
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  • If over $1 million, please email a copy of the written requirements from the certificate holder.
  • $ .
  • The Certificate Holder is the organization who owns the facility where the event or activity is taking place. This cannot be your name and address.
  • No PO Boxes will be accepted.