Contact: Paula Grantier , Office Manager
Fill-out the certificate of insurance request form
Attach supporting documents (certificate request from certificate holder, literature of event, a copy of the completed permit application or contract)
Provide the following information:
- Certificate Holder name, address, phone #, fax #
- Certificate requirements (additional insured, type of insurance needed, etc.)
- What is the activity or event
- Dates of activity or event
- Location of activity
Your request should to be submitted at least 2 weeks prior to the event.
Submit documentation to:
- Cornell University Department of Risk Management & Insurance
- 35 Thornwood Dr., Suite 200
- Ithaca, NY 14850
- T: 607.254.1575 F: 607.254.1575 E: risk_mgmt@cornell.ed