FormsStaffRisk Management → Request for Certificate of Insurance

Request for Certificate of Insurance

About this Form

Form number: 203-7


Last revised: March 2023

This form is used to request a copy of MCPS’s Certificate of Insurance (COI), evidencing general liability insurance to suppliers that request it for school-related events and leases.  Please complete the questions and submit at least one week in advance of the event.  Contact the Risk Management Specialist at 240-740-7524, if you have questions.  Email the completed form to: and

Adobe PDF Request for Certificate of Insurance86 KEnglish

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