Obtain Proof of Insurance

New Feature: Certificate Request Template for Departments with Graduating Residents

UW Departments can download this form to request certificates for multiple graduating residents. Complete the form and email it to rmcerts@uw.edu.

Obtain Proof of Insurance

The University of Washington’s self-insurance program provides protection from liability claims arising from the negligent acts or omissions of the University of Washington (including UW Medicine Northwest) and its employees, students, and agents acting in the course and scope of their University duties. The term “agent” includes volunteers to official University programs. Confirmation of coverage is available through the Office of Risk Management.

  • Form: Occurrence
  • Extended Reporting (“tail”) coverage: not needed; form of coverage is occurrence.
  • Policy Number: none; the University is self-insured.
  • Limits: Unlimited per occurrence and in the aggregate
  • Address: 22 Gerberding Hall, Box 351276, Seattle, WA 98195

For help and questions: rmcerts@uw.edu

Due to a staff vacancy, our response may be slower than usual. The email address rmcerts@uw.edu is being monitored. Please email your name, number and message clearly, and we will contact you in the order received. We can respond to most requests within seven days. Please do not send multiple requests because this slows processing time.

Thank you for your patience during this transition. We apologize for any delay.

 
 

Individual Professional Liability

Program Professional Liability

General Liability
Click here for more information

Covered

Individual Provider or Employee including Residents Students in a specific school or program. UW Department or employee for an event, conference, activity or retreat

Carrier

University of Washington University of Washington University of Washington

Limits

Unlimited per occurrence and in aggregate Unlimited per occurrence and in aggregate Unlimited per occurrence and in aggregate

Term

From date of appointment (or 1/1/2011 for NWH providers) to completion of appointment  Period in which the program takes place  Period in which the activity takes place

Form

Coverage operates on occurrence basis. Defense will be provided for claims arising from the period of appointment. Coverage operates on occurrence basis Coverage operates on occurrence basis

Deductible

None None Contact Risk Management for information

Request

Request a certificate Send e-mail to rmcerts@uw.edu
with the following information:
  1. Program name
  2. Why you are requesting the certificate
  3. Where to send the certificate (e-mail is preferred)
Send e-mail to rmcerts@uw.edu
with the following information:
  1. Activity name
  2. Why you are requesting the certificate
  3. Where to send the certificate (e-mail is preferred)
© 2015 University of Washington     PRIVACYTERMS