Environmental Health & Safety > Forms > Certificate of Insurance Request

Certificate of Insurance Request

​A Certificate of Insurance is a document used to verify the university’s insurance coverage to outside parties. Risk Management provides the certificate as proof of insurance.

To request a COI, submit the following information to the Risk Management team at insurancecertificate@depaul.edu:

  • A copy of the contract/agreement/invoice that requests proof of insurance.
  • Contact information of the Certificate Holder requesting the proof of insurance.
  • Date(s) of event or activity.
  • Complete the form below.

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Your Information

Certificate Holder

Select a date from the calendar.

Event Details


Select a date from the calendar.

Certificate Information


NOTE: Please send a copy of the agreement or contract prior to signing.


Before clicking the Submit button, please take time to review the accuracy of your COI Request. If you have questions, please email insurancecertificate@depaul.edu.