OSSA Certificate of Insurance Request
Insurance certificates are typically issued to list a 3rd party as an additional insured with the Club and OSSA.

Usually it’s the municipality or facility or a first aid provider that would ask for a certificate.

If no third party has asked you to provide a certificate listing them as additional insured you do not need to fill out this form.

The OSSA general certificate is available online here: http://ontariospeedskating.ca/insurance/.

Request form completed by (full name): *
Your answer
Email address: *
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Phone number: *
Your answer
Date of event: *
Your answer
Name of event: *
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Location of event (full address plus postal code): *
Your answer
Addtional Insurance Requested: *
Please list the EXACT text that the third party has requested for the certificate.
Your answer
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