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RRCA Additional Insured Request Form

 

Please complete the following form to submit your RRCA request.

















Owners and/or lessors of premises, sponsors and co promoters, or municipalities






Use one form for each additional insured.

Please allow two (2) weeks for processing or certificate requests. Copies are provided to: member club, additional insured and insuring company.

Please direct any questions to Judy Weaver: (260) 467-5697 or RRCAinsurance@starfinancial.com