Join
Forms
Shop
Careers
Camp/Program/Event Registration
Give
En Español
ABOUT
ABOUT
GIVE
GIVE
EVENTS
EVENTS
VOLUNTEER
VOLUNTEER
COOKIES
COOKIES
CAMP & PROPERTIES
CAMP & PROPERTIES
OUR COUNCIL
OUR COUNCIL
NEWS
NEWS
MY GS
MY GS
About GSEP
Shop
Museum of Girl Scout History
Girl Scout Alums
Publications & Documents
GSEP Print Shop
Careers
Forms and Documents
Certificate of Insurance Request Form
Materials Order Form
Materials Order Catalog
Janet & Solomon Eshner Campership
Sally A. Moyer Campership
Ann Trevaskis Campership
Dorthea B. Leh Campership
Older Girl Travel Credits Application
Service Unit Cookie Cupboard Agreement Form
SUCM Volunteer Agreement
Cookie Family Entrepreneur Pin Raffle
Contact Us
Our Council
Forms and Documents
Certificate of Insurance Request Form
Certificate of Insurance Request Form
Requester First Name
*
Requester Last Name
*
Requester E-mail
*
Service Unit or Troop Number
*
SU/Troop E-mail
Activity Name
Activity Date(s)
*
Name of Facility Requesting GSEP Certificate
*
Address of Facility
*
Contact Name at Facility
*
Facility Contact E-mail
*
Facility Contact Fax Number
*
Additional Insureds (if required by facility)
Special Wording/Instructions
Please validate the recaptcha