Departments utilizing external entities who request a certificate of insurance from Cleveland State University prior to their use of facilities and/or properties need to provide CSU's Department of Environmental Health and Safety with a copy of the contract or agreement document and complete and submit the Request for Certificate of Insurance form.

The documents must be forwarded to EHS fifteen (15) working days prior to the effective date of coverage. Documents may be forwarded by campus mail or by fax (216-687-9346).

EHS shall forward the original certificate of insurance directly to the requesting party and maintain a copy in the EHS office. The CSU representative will be provided a copy of the certificate of insurance upon request.

Download: Certificate of Insurance Request Form