Proof of Insurance Request Form

 

Name of Insured:

St. Thomas University, 16401 NW 37th Avenue, Miami Gardens, FL 33054

I would like to receive proof of insurance by: (Required)
Standard 3-4 business daysEnd of todayRush

Type of Coverage Requested (check all that apply):
GeneralAutoWorkers CompensationProfessional

Does the organization request to be listed as additional insured?
YesNo