Certificate of Insurance Request Form

This form is for Club Directors/Administrators ONLY. Insurance is only valid for events in which ALL participants are USAV members (does not include non-sanctioned events, such as open gyms or private lessons). Certificate holder is generally an entity, such as a school district, church, facility, etc. Individual schools that are part of a school district do not need to be listed, just the district name and the district office address. Turnaround time on COI requests is 3-5 days. Clubs who do not complete the steps necessary to have their club activated by October 31st with CEVA will have their COIs voided. NEW FOR 2018-2019: All certificates will include excess liability coverage.

To view the full USAV Insurance Handbook and other pertinent insurance forms, Click Here
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Columbia Empire Volleyball Association
4840 SW Western Avenue, Suite 450
Beaverton, OR 97005

503-644-7468

region@cevaregion.org