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Certificate of Insurance Request

To help facilitate a smooth delivery to your address, determine if your building requires a Certificate of Insurance for deliveries and complete the form below. Once all necessary information has been submitted, we will send the completed Certificate of Insurance to your building.

Information is required unless noted.

Your Information

Choose your closest location

Building Contact Information

The completed Certificate of Insurance will be sent by email or fax.

Certificate Holder Information

Please obtain the following information from your building.

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The information you provide will be sent to the Room & Board Delivery Center you selected. You will also receive a copy of your request by email.