SOO Insurance Requisition

This form should be used to request additional insurance for facilities, partners and organizations working with Special Olympics Programs. This form will be transmitted automatically to Special Olympics Ontario for review. Completed certificates will be forwarded upon receipt.

  • This should be set to Special Olympics Ontario
  • Contact Information

  • Insurance Information

  • Name of organization requesting the certificate (Usually the owners of the property - a city or corporation)
  • Actual name and location of event, including dates and times. If insurance request is for multiple facilities owned/operated by the insured please indicate this here.
  • Please include the name(s) of the organization, group or individuals to be listed as the additional insured on this certificate.
  • Whoever is specifically requested as Additional Insured by the organization it is evidenced to (#1 above). This could be the same or different from #1 and #2 above.
  • Follow-Up Information

  • MM slash DD slash YYYY