Washington State University

Certificates of Insurance

 


Occasionally the University will need to provide to other parties evidence of insurance coverage. Such evidence is generally called a Certificate of Insurance and the other party may be named as additional insured under WSU's liability policy.

Issuance of certificates requires specific information regarding the event, function, provision of services, or use of facility for which the certificate is to be issued. All such information must be submitted to the Office of Risk Management Services by the University faculty or staff member needing the certificate. All certificates are issued specific to the intended purpose. Certificates are issued by the State Office of Risk Management, through the WSU Office of Risk Management Services.

To request a Certificate of Insurance, please complete the Request for Certificate of Insurance form below and provide the following written documentation:

  • Written request on departmental letterhead that contains a brief statement describing the event, function, provision of services, or use of facility the certificate must address;
  • The name, address, phone number and email address of the party(ies) to whom the certificate is to be provided (the original certificate will be sent directly to the requesting party by the insurer);
  • The dates, times, and location of the event, function, provision of services, or use of facility;
  • A complete copy of the contractual agreement applicable to the event, function, provision of services or use of facility.

Request for Certificate of Insurance

PDF Format 3KB

Evidence of Liability Insurance

PDF Format 124KB

Certificates of Insurance for Student Interns

Cooperating agencies where WSU students are serving internships may require Certificates of Insurance for coverage provided by the University for the student while serving in the internship. Please contact the Office of Risk Management Services, (509) 335-6893, for these certificates.

Risk Management Services, PO Box 641172, Pullman, WA 99164-1172, 509-335-6893, Contact Us