Certificate of Insurance

Requests for Student Internships/Clinical Rotations

Periodically, an off campus site will request a student to provide proof of insurance before authorizing a CMU student to fulfill an internship/clinical rotation requirement at that site.

For assistance with proof of insurance requests, contact the Risk Management Office at (989) 774-3741. Risk Management will prepare a certificate of insurance document upon completion of the following:

  1. Confirmation that an Affiliation Agreement has been approved and on file in the Academic Administration Office. Contact person re: Affiliation Agreement questions: Laura McGuire at
    (989) 774-1590.
  2. Receipt of the following information from the CMU Faculty member supervising the approved internship/clinical rotation:

  •     Student Name
  •     Class Name and Number
  •     Internship/Clinical Rotation Type
  •     Time Period of the Internship/Clinical Rotation
  •     Site Name
  •     Site Contact Person
  •     Site Address
  •     Insurance Type and Limits Required by the Site.

VIEW PRINTABLE VERSION.

 

Requests from Off-Campus Sites

Periodically, an off campus site will request CMU to provide proof of insurance before authorizing an agreement or contract, or allowing a CMU sponsored event or activity to be held on its premises.

For assistance with proof of insurance requests, contact the Risk Management Office at (989)774-3741. Risk Management will prepare a certificate of insurance document upon completion of the following:

  1. Confirmation that an agreement/contract/event/activity has been approved and on file in the appropriate University Office.
  2. Receipt of the following information from the CMU department requesting the certificate of insurance:
  •     Site Name
  •     Site Contact Person
  •     Site Address
  •     Brief Description of Agreement/Contract/Event/Activity
  •     Date and/or Time Period of Agreement/Contract/Event/Activity
  •     Insurance Type and Limits Required by the Site
  •     Instructions to Mail/Fax/E-mail Completed Certificate of Insurance.

3. Please allow a minimum of 5 business days for completion of your certificate of insurance request.

VIEW PRINTABLE VERSION.