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Risk Management Services


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Certificates Of Insurance

Online Certificate of Insurance Request

Download: Certificate Request Form (PDF)

Non-Utah State University entities may periodically request evidence that USU employees, property, programs or activities are insured by providing them a certificate of insurance. We will arrange to provide certificates of insurance upon your request.

  1. In order to have a certificate issued, please complete this form and send or fax it to us at:
    USU Risk Management Services,
    6600 Old Main Hill,
    Logan, Utah 84322-6600
    FAX: 435-797-1925
    Email: jarrod.larsen@usu.edu
  2. Attach a copy of the written request for insurance verification from the outside entity.
  3. If there is a contract between the Utah State University and the outside entity, please attach it. We need to review the insurance and indemnification language of the contract.

We will attempt to comply with reasonable requests made by outside entities, but it may not be possible in some cases to comply with their requests. For example, some outside entities request to be added as additional insureds. This request will be granted if it is reasonable under the circumstances. They will be added as insureds, but only for the negligent acts or omissions of Utah State University and to the extent of the limits contained in the Utah Governmental Immunity Act. If you provide us with sufficient advance notice, we can work through these issues.

We can coordinate with other USU Human Resources for insurance certification requests related to Worker's Compensation.

Once we have received all of the above information from you, it normally takes 15-20 business days to have a certificate of insurance sent to an outside entity.