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PLEASE NOTE:  Review your contract or check with your facility to see if they require listing as “additional insured.” If so, you must include a copy of the contract with this request. Please download our AI Certificate Requirements letter, which also explains our absence of aggregate and share it with your facilities to make obtaining a contract easier.  Contracts and supporting documentation should be emailed to insurance@sccqg.org. See insurance instructions for additional information. Certificate amendments will result in an additional fee.

SCCQG Insurance Certificate Request


Form used to request proof of insurance or proof of insurance with additional insured certificates.