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?