SCORA COI Request Form (for non-SCORA Races)

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PLEASE COMPLETE AT LEAST 2 WEEKS PRIOR TO EVENT.

Not all non-SCORA races require a COI, some make you purchase their race insurance. Please do your research and go to the race's website before filling out this form.

In order to be covered by SCORA's insurance, you must race and register as a SCORA club. If you decide to race under a different name (ex: California Masters, So Cal Wahines, etc.) you will not be covered.

Email *

Your Name *

SCORA Club *

You must be registered under this club name.

Additional Insured *

This is the non-SCORA club or association that is putting on the race you are traveling to. The correct verbiage that they need should be on their website.

Address of Additional Insured *

This is usually on the race website or it is the address of the association putting on the race.

Race *

Race Date(s) *

Race Location *

List the Crew Members and SCORA IDs

You must list all SCORA members in the crew for the COI to be processed
EXAMPLE:
Malia Hohl - SC100
Kelly Schwartz - SC101
Bruce Schwartz - SC102
Mike Shandroff - SC103
Billy Whitford - SC104
Cheance Adair - SC105

Additional Notes or Requests

A copy of your responses will be emailed to the address you provided.

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