Request Annual Certificate of Insurance

Use this form if you need to permanently add a land owner to an existing certificate or request a new certificate.

Name of Applicant or Insured *
Mailing Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Contact Name *
First Last
Contact Phone *
### - ### - ####
Email where certificate is to be sent *

Send to a club member, do not send directly to the landowner.

Confirm Email
Landowner Details
Landowner (Name) *

Provide the full legal name of the landowner/ town / municipality etc.
Landowner Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

This is the business or home address of the Landowner. NOT THE PROPERTY ITSELF unless the two are the same.
General Comments (if required)
Applicant Signature: *
Name of signature above*
First Last
Date Signed *
By checking the box below you are certifying the information contained within this form to be accurate and correct. *

I understand and agree

ABOUT OASIS Outdoor Adventure & Sport Insurance Solutions Inc.

OASIS Outdoor Adventure & Sport Insurance Solutions Inc. offers a national general liability program for accredited ATV, Off Road Trail Bikes and Snowmobile Safety Instructors while providing their courses.

Our specialties include, working with non-profit clubs, trail related exposures, outdoor adventure risks, large commercial, as well as standard line products.

For clients who own pedal bikes, ATV’s, UTV’s Dirt Bikes or Snowmobiles, go to www.insuretoys.ca to find a local broker.

CONTACT US

OASIS Outdoor Adventure & Sport Insurance Solutions Inc.

10020 12th Ave
North Battleford, SK
S9A 3A4
Canada
Phone: 1-306-446-2747
Toll Free 1-866-979-2747
Fax 1-866-488-6122
Email contact form

Request Annual Certificate of Insurance

Landowner Details

ABOUT OASIS Outdoor Adventure & Sport Insurance Solutions Inc.

CONTACT US