North Country Region

2023-2024 Certificate of Insurance Request




Peace of Mind. USA Volleyball Certificates  of Insurance (C of I) is a member benefit to all USA Volleyball clubs and tournament directors who sanction their practices, tryouts, tournaments, and more with North Country Region - USA Volleyball.  Because USA Volleyball Secondary Liability Insurance remains a leader in providing peace of mind to sports organizations, specifically youth sports, USA Volleyball does require the following for the insurance to be valid

  • Current USA Volleyball membership for all participants
  • Adult members who work with minor age athletes at the event meet USA Volleyball safety requirement
  • Club director/tournament director/club administrator is able to validate that USA Volleyball CofI requirements were met

WHO COMPLETES THIS FORM?   Club director or  designated club administrator who meets the following requirements:

  • Membership – must have current NCR – USA Volleyball membership
  • SafeSport training – must be current, cannot expire prior to or during date of event
  • Background Screen – must be current, cannot expire prior to or during date of event


  • Complete request
  • Start date CANNOT be post dated. Start date can be day C of I is created or later.
  • Allow 7 – 10 business days for request to be completed
  • Certificate of Insurance will be emailed to the email address provided in the request form

September 1, 2023 is the earliest date that a Certificate of Insurance can be issued.


Laura Bush

Executive Director

Phone: 952-831-9150 ext. 1