Request Evidence of Coverage

Any contract or agreement requiring an Evidence of Coverage (or Certificate of Insurance) must be reviewed by Enduris prior to issuing the EOC. Documents can be uploaded at the bottom of this form.

Please allow up to two weeks for your EOC to be reviewed and issued.

Member Name:

Member Contact Name:

Member Contact Email:

Street Address:

City State Zip:

Phone:

Holder (Person/Entity requesting EOC):

Address (Holder):

City State Zip (Holder):

Purpose/Event (please be specific):

Effective Start Date:

Effective Expiration Date:

Is Holder requesting to be additional insured?

Yes

Is Holder requesting to be loss payee?

Yes

If Holder is requesting a cancellation clause, how many days are required?

Contract/Agreement Required. Upload here

Additional Notes:

EVENTS

ONLINE training

How To Facilitate Team Trust

Date: Thu, Jul 23, 2020

Time: 9:00am–10:00am

Location:

WEBINAR

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Identity Fraud Alert

The Washington Employment Security Department (ESD) has issued a fraud alert. Enduris provides members with an Identity Fraud Expense Reimbursement insurance policy provided through Travelers Insurance. Please click here for more information.

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