CBTF Insurance Certificate Request Form

Please use this form when requesting insurance certificates from the CBTF insurance broker.

To use the online form:

  • Type your information into the appropriate box and click the Submit button.
  • Fields marked with the * are mandatory and must be provided.
  • The request will be sent directly to Peter Yeh by email.
  • A copy of the request will be sent to the email address entered in 'Email' field on the form.

The information entered below will be sent directly to Peter Yeh and a certificate will be issued.

Contact Information

Name of person requesting Insurance Certificate

Mailing address to receive paper certificate. Enter full address including City, Province and Postal Code.

Email address of person requesting Insurance Certificate. Used if any clarifications are required.

Optional. Fax number to receive copy of insurance certificate. Remember to include your Area Code.

Request Details

Optional. Club name that should appear on the certificate.

Sanction Number provided by the Provincial or National Sanction Officer. Without a valid Sanction #, no certificate will be issued.

Enter the Type of Event as indicated on your Sanction Request Form

The location of the event. Enter full address including City, Province and Postal Code.

Business address of the School Board or facility landlord. Enter full address including City, Province and Postal Code.

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