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2021-22 Certificates of Insurance

certificates of insurance

All Certificates of Insurance from 2020-21 have been reissued and sent via email to your clubs President or Insurance Coordinator through a Google Drive.

Complete the form below in the event the owners or operators of game and practice facilities require proof of liability insurance before allowing member organizations to use those facilities.

Organizations making requests must be Eastern Pennsylvania Youth Soccer members in good standing with an Annual Membership Form on file.

As of July 1, 2013, completed certificates will be sent to the Club President and Club Insurance Coordinator ONLY. It is their responsibility to make sure the property owner receives the certificate.

If you are requesting a certificate for a commercial facility, Eastern Pennsylvania Youth Soccer will only issue a certificate if the commercial facility is a sanctioned facility (Permission to host on file).

2021-22 Certificates of Insurance Form Below:


request form for certificates of insurance


Please contact Baley Federico regarding any questions about Certificates of Insurance -