Connecticut State Soccer Association

Certificate of Insurance Request Form

All files are in Microsoft Word for Windows and Macintosh formats. These formats can be imported into later versions of Microsoft Word for Windows and Macintosh.
CSSA Certificate of Insurance Request Form
	CSSA Certificate of Insurance Request Form (36 KB) -- updated 20-Mar-2010   Instructions: 1: Click the link above to download the form. 2: Fill the form out completing all details. 3: Email a copy to Marco Viola. His email address is at the top of the form. 4: Do NOT sent the form to the USASA in New Jersey.