Certificates of Insurance

Certificate of Insurance (COI) Request/Insurance Coverage Review - Submit form for certificate of insurance requests or insurance coverage reviews. If you have difficulty submitting this form, please print and fax it to the Insurance Program Manager at (254) 710-6256.

You may also email the following information:

  • Name & Address of requesting company
  • Insurance Coverages & limits requested
If you have any questions, call the Insurance Program Manager at 254-710-4586.