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Get A Quote

Thank you for your interest in the enhanced liability protection designed exclusively by and for nonprofits. For your benefit, we work with independent brokers who have experience in serving the coverage needs of the nonprofit sector.

The process of getting a quote may take up to five (5) days during which time a qualified broker will objectively review your operations, consider your organization's liability risks, and then present you with coverage options to fit your needs.

Please fill out the information below, which we will provide to a licensed insurance broker who will contact you shortly, usually within one or two business days. We only work with brokers that have high ethical and professional standards.

Questions? Please call (800) 359-6422 or email: info@insurancefornonprofits.org

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Your Information
* Nonprofit Name:
* Mission:
* Address Line 1:
Address Line 2:
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* City/State/Zip:
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County:
* Phone: ( ) - ext.
* Website:
Proposed Effective Date:
FEIN:
* Is this nonprofit organization tax-exempt under 501(c)(3)?:



* Principal Operating State?:
* In which states do you do business?:
Hold down ctrl to select more than one state
Annual Budget:
Number of
Part Time Employees:
Number of
Full Time Employees:
Number of Volunteers:
 
Contact Information
* First Name:
* Last Name:
* Title:
* Email:
 
Referral Information

Applications for insurance must be made through an insurance broker. We can either refer you to a broker or work with your current broker. (Please note that in Arkansas and Colorado we have exclusive broker arrangements.)

* Please refer me to
an insurance broker:


* Name of current insurance broker:
* Contact name at this brokerage:
* Broker Phone: ( ) - ext.
Broker Email:
Current Carrier:
If other, please indicate the carrier
 
* How did you hear about us?  
 
 
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