BP Logix Process Director
Certificate of Insurance Coverage Application
All fields are required and marked with a red bar (
|
).
Request Information
Requester Type
UWRF campus user
I am not a UWRF campus user
Requester's Name
...
Your Email Address
Type of Coverage
Workers' Compensation
Liability
Automobile Liability
Property
Dates of Coverage Needed
Example: 11/1/2023-1/30/2024
Organization Name
Organization’s Contact Name (Attn to:)
Organization's Address
Phone
Where can you be reached if we have questions?
Event/Purpose of Certificate
Why do you need the certificate of coverage?
Submit