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Request for Self-Insurance Letters

This self-insurance request form is provided for the use of District government agencies ONLY.

The Government of the District of Columbia operates as a self-insured entity.  When a DC Agency requires proof of insurance (evidence of self-insurance), the DC Office of Risk Management (ORM) will review and consider all requests for such proof.  Please understand that all requests for proof of insurance letter shall be requested at least ten (10) days prior to its due date.

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Department of Insurance, Securities and Banking

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Office Hours
Monday to Friday, 8:15 am to 4:45 pm, except District holidays

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810 First Street, NE, Suite 701, Washington, DC 20002
Phone: (202) 727-8000
Fax: (202) 535-1196
TTY: 711
Email:disb@dc.gov

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