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Solutions
Report A Claim
Contact Us
Contact Us
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Tell Us About Yourself
We’d love to learn more about your church and how we can help protect your ministry. Simply fill out and submit the form below with a few details about your church, and our team will reach out soon to discuss your needs and provide a personalized quote.
Name
First
Last
Job Title
Phone
Email
Contact Preference
Organization Phone
Personal Phone
Email
Ministry Information
Organization Name
Organization Phone
Organization Street Address
Organization Website
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Organization Type
Church
Church and School
Church and daycare/MDO
Average Weekly Attendance
Less than 100
100-500
500-1000
1000-2500
2500+
Please indicate your denomination
Baptist – Member of BGCT
Baptist – Member of SBTC
Baptist – Other
Lutheran
Presbyterian
Methodist
Pentecostal
Adventist
Catholic
Episcopalian
Other
Coverages Requested
Coverages
Property
Cyber Liability
General Liability
Crime – Employee Theft & Dishonesty
Pastoral Counseling Liability
Workers’ Compensation
Directors & Officers
Inland Marine
Sexual Abuse & Molestation
Mission Travel
Employment Practices Liability Insurance
Flood
Employee Benefits Liability Insurance
Umbrella
Hired and Non-Owned Auto
Group Accident
Auto
Other
Effective Date of Insurance Needed
MM slash DD slash YYYY
Protecting Ministry. Empowering Mission.