Insurance Research survey

Your participation
matters.

Collecting data to evaluate alternative risk financing solutions: Stabilizing Costs, Improving Coverage and Freeing More Resources for Ministry.

Church Information

Name(Required)

First Last

Email(Required)

Phone(Required)

Church Name(Required)

Church Region(Required)

Business Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Property

NOTE: Files exceeding 10 MB may fail to transmit correctly. Please ensure your upload is within the size limit.

Current Property Policy

Max. file size: 10 MB.

Application for most recent renewal (if available)

Max. file size: 10 MB.

Liability

Current Liability Policy

Max. file size: 50 MB.

Application for most recent renewal (if available)

Max. file size: 50 MB.

Church Operations Information

Number of members in your congregation:(Required)

Number of Pastors:(Required)

Number of Fulltime Staff:(Required)

Number of Part-Time Staff:(Required)

Building Square Footage:(Required)

Other Operations Information

If applicable, for any other operations listed below, please provide:

Daycare Services

Enrollment:

Staff:

Square Footage Occupied:

Elementary School: K-5th Grade

Enrollment:

Staff:

Square Footage Occupied:

Middle School: 6th-8th Grade

Enrollment:

Staff:

Square Footage Occupied:

High School

Enrollment:

Staff:

Square Footage Occupied:

Other Social Services

Enrollment:

Staff:

Square Footage Occupied:

IMA Team

Casey
Casamento Church Program Leader

Email Casey

Amy
Casamento Church Program Specialist
REGIONS:
Central, East,
Southeast

Email Amy

Isaac
McClintock Church Program Specialist
REGIONS:
Central, North, Southwest,
West, Hispanic, Haitian

Email Isaac

Insurance Research survey

Your participationmatters.

Church Information

Property

Liability

Church Operations Information

Other Operations Information

IMA Team

Your participation
matters.