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Certificate of Insurance Request
Free certificate of insurance (COI) request template for asking a vendor or contractor to prove their insurance coverage.
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This free certificate of insurance request covers Required Coverage, Additional Insured, Where to Send with 10 clearly marked [placeholder] fields to fill in — built for founders, freelancers, and small business owners formalizing a business decision or agreement without paying a lawyer to draft it from scratch. Copy it into your own word processor, fill in the placeholders, and review it — or adapt it — before use. It's part of docstoc's free document template library, alongside business, legal, real estate, finance, and HR templates. Every template here is free to copy with no signup required, and each one carries a plain disclaimer: this is a starting point for informational purposes, not a substitute for advice from a licensed professional in your jurisdiction.
Certificate of Insurance Request
[Date]
[Vendor/Contractor Name]
Dear [Name],
Before we can proceed with [Project/Engagement], we require a Certificate of Insurance (COI) showing the following coverage:
Required Coverage
- General Liability: minimum [Amount] per occurrence
- [If applicable] Workers' Compensation: as required by [State] law
- [If applicable] Professional Liability / E&O: minimum [Amount]
- [If applicable] Auto Liability: minimum [Amount]
Additional Insured
Please name [Your Company Name] as an additional insured on the General Liability policy.
Where to Send
Please have your insurance broker send the COI directly to [Email], or provide a copy for our records.
Please send this before [Date] so we can proceed as planned.
Thank you, [Your Name]
*Requiring the COI be sent directly from the insurance broker (not just forwarded by the vendor) reduces the (rare but real) risk of a fabricated certificate.*
Edit directly in the box above. Download PDF anytime — the docstoc.io footer is always included and cannot be removed.
What's included
- Edit online — click the document, fill in placeholders, download a PDF
- 3 standard sections: Required Coverage, Additional Insured, Where to Send
- 10 clearly marked [placeholder] fields for quick personalizing
- Free to use — no account or signup required
- Fully editable — adjust any clause to match your actual situation
- Fixed docstoc.io footer on every PDF (not removable)
Who this template is for
Freelancers & solo founders
Handling routine business paperwork without commissioning custom legal drafting for every document.
Small businesses
Standardizing recurring documents — leases, agreements, notices — across a growing operation.
Anyone reviewing before signing
Using a clear starting structure to understand what a document should cover, even if a lawyer finalizes it.
Early-stage businesses
Getting the basics documented before things get more complex.
FAQ
Is this certificate of insurance request template really free?
Yes. Like every template in docstoc's library, this certificate of insurance request is free to use, with no account or signup needed to view, edit, or download it.
What does this certificate of insurance request cover?
This business template includes Required Coverage, Additional Insured, Where to Send. Fill in the [bracketed] placeholders, edit any clause online, then download a PDF — the docstoc.io footer stays on every export.
Is this legal advice?
No. Templates like this cover the common ground most businesses need, but they can't anticipate your specific deal terms, jurisdiction, or industry rules. Treat it as a first draft to build from, and get a business attorney's eyes on it before signing anything that matters.
Can I edit the wording?
Yes. All 10 placeholder fields and every clause are editable right on the page — change what doesn't fit, then download an updated PDF anytime.
Where can I find more free templates like this?
Browse more free business and related document templates in the docstoc library at /document-templates/.
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Why use this instead of a generic template
Security
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Legality
Templates are drafted for general use, not a substitute for legal advice — check the note on each page for specifics.
Privacy
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Speed
Copy the subject and body directly — no form to fill in, no export step, no waiting on a download link.
Mobile-friendly
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API available
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