ACC20.1 Certificate of Insurance Request - P/TC

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Provincial/Territorial Committee (P/TC) Request for Certificate of Insurance

Certificates must be requested by the P/TC Chair

Certificates of Insurance may be issued where proof of insurance is requested by a landlord or Association that is permitting the cadets or the League to operate on their property. These certificates are “event specific” to League activities as authorized and approved by the League but can sometimes be issued for “Block” proof of coverage, for example for use of a facility on a weekly basis during an extended period.

Important things to know when filling out this electronic request form:

Prior to filling out this form, make sure that you have all the information needed from the landlord, corporation or agency you are dealing with. This includes their deadline to receive proof of insurance, their contact information, street address, email address, phone number, if they require to be added as an additional insured, etc.

The certificates are immediately forwarded by e-mail to all the parties listed on the request form. If you are unable to get an email address, it will be your responsibility to provide the certificate of insurance to them

starred items = required fields – The starred items on the electronic form correspond to the necessary information the Insurance Company requires to process your request. (You will not be able to submit the form unless these fields are filled.
Avoid using a cadets.gc.ca or forces.gc.ca e-mail address when possible. The DND's strict rules and firewalls, may block the correspondence from unknown senders and strip the attachments.

Following our annual Insurance policy renewal process, certificates can only be requested for the CURRENT TRAINING YEAR (not exceeding June 30th annually). This certificate of insurance request process should resume by mid-July for any proof of insurance required for the upcoming training year.

In the case of any error, you will need to submit the request again.

If you have any questions, you may contact our office:

Phone: (613) 729-1941

Toll Free : 1-877-422-6359

E-mail : leaguehq@aircadetleague.com

PLEASE CHECK THE BOX(Required)

I HAVE READ AND UNDERSTOOD THESE INSTRUCTIONS

RCSU INFORMATION (if applicable)

Select which RCSU you are associated to

Name of the RCSU Representative

First Last

Certificate No

Phone #

RCSU Contact' E-mail Address

NOTE: When possible, please avoid using a cadets.gc.ca or forces.gc.ca e-mail addresses. The DND's strict rules and firewalls, may block the correspondance from unknown senders and strip the attachements.

Enter Email Confirm Email

Alternate e-mail address

Enter Email Confirm Email

REQUEST INFORMATION

P/TC Chair's name

Phone #

Name of the P/TC

Email of the P/TC chair

Date(Required)

P/TC Chair's Signature(Required)

Use your mouse to sign.

ACTIVITY INFORMATION

Physical Address of the Activity (including postal code)(Required)

What is the Air Cadet League of Canada's involvement in this activity?(Required)

(e.g. the League is involved in the planning of this activity, the League is providing manpower for this activity, the League is raising funds for the squadron during this activity, the League is renting this location for weekly activities or Nil/none of the above -please elaborate.)

Please provide a brief description of the activity or event.(Required)

Start Date(Required)

End Date(Required)

Policy coverage ends on June 30th of each year. You will not be covered pass this date even if you choose a date after June 30th.

CORPORATION, LANDLORD, AGENCY INFORMATION

Official Legal Name (No abbreviation) (Corporation, Landlord, Agency)(Required)

Contact Person(Required)

Position(Required)

E-mail Address(Required)

Phone Number(Required)

Fax Number

Address(Required)

Street Address City Province Postal Code

ADDITIONAL CERTIFICATE INFORMATION

An additional insured is an entity/company's legal name, that is added to the insurance certificate. This then provides coverage under that policy during the course of the event and or rental of premises. Although not all companies you deal with will require this, it is important to be clear on if they wish and need to be added. The question should be asked at all times. If "yes" you need to ensure and obtain the proper and full legal name of the company along with the complete mailing address to include it in this section.

Does the company or organisation you are dealing with require to be named on this certificate?(Required)

Yes

Official Legal Name(s) and address(s) to be added as additional insured (separated by a comma)(Required)

You may use the comments section if you require to include more additional insured parties to this list.

ADDITIONAL COMMENTS

Please include any additional information you feel may be pertinent for this activity. This may also include the urgency of this request

Find A Squadron

Click on the link below to locate information on the Canadian Cadet Organizations Cadet Corps and Squadron Directory.

CLICK HERE

Get In Touch

The Air Cadet League of Canada
PO BOX 8758 STN T
OTTAWA ON K1G 3J1

Toll Free: 1-877-422-6359 (1-877-I-CAN-FLY)
Fax: (613) 714-6807

E-mail: leaguehq@aircadetleague.com

Quick Links

CADET PROGRAM INQUIRIES

Contact a Regional Representative

General Inquiries : information@forces.gc.ca

Media Queries : mlo-blm@forces.gc.ca

ACC20.1 Certificate of Insurance Request – P/TC