Certificate Of Insurance (COI)

(COI) Certificate Of Insurance For Cannabis Consumer Delivery Coverage

Verified States Cannabis Consumer Insurance Form For All Cannabis Delivery And Building Coverage

Notice: (COI) Cannabis Consumer Insurance Policy

According to the new state policy regarding cannabis dispensaries and legal consumers, all customers who purchase cannabis from any dispensary are required to pay a refundable COI fee in accordance with your cannabis insurance policy. This COI fee is required to provide coverage for your package throughout the delivery process in the event of an accident or damage. The fee will be refunded and will reflect back in your account once you receive your package upon delivery.

First Name

Middle Name

Last Name Last Name

Date Of Birth

Phone Number

Address

City

State/Province

Zip/Postal Zip/Postal

Have your ever use cannabis Insurance?

Select an Insurance Type

Certificate Of Insurance Refundable Fee

Payment Method

Upload your state ID or Drivers License Front

Back

Date

Signature

By checking this box, you give your consent to proceed with the cannabis consumer insurance registration policy.