Church Quotation Form

Church Insurance Quote

Please completed the form below if you would like Congregational & General to provide your church with an indication of the cost of insuring with us. Once submitted a member of the Church Department will contact you within 2 working days.
If you have any difficulties completing the form please call our church department on 01274 700 700.

Church Insurance Quote

Church name

Your name

Address for Correspondence inc postcode

Daytime tel number

Address of premises to be insured inc postcode

email address

Sums Insured

Total buildings (including stained glass)

Total contents

Total value of specified Items to be taken away from the site

Organ

Other Property

Is accidental Damage cover required on building and contents (optional) ?

What public liability limit do you require ?

Are the buildings built of brick or stone and slated or tiled?

If no please give details

Claims and/or Losses

Please give details, including costs of all claims made in the last 5 years

Have there been any incidents of loss or damage in the last five years that have not resulted in a claim being made?

If yes, please provide more information here

What physical security do you have at the premises?

Do you have an alarm system?

If yes is it NACOSS approved?

If yes is it connected to a central station monitoring system?

Additional Information

Are the premises used solely for normal church activities and not for any business or commercial use or purpose?

Are the premises used solely for any form of community activity, outreach, shelter or accommodation either solely by you or in conjunction with other churches or other organisations?

Is there anything else in relation to your church insurance you think we should know?

Information on your current policy

Your present renewal date (mm/yy)

If you have a long term undertaking what is the expiry date? (mm/yy)

Your current insurance premium?

Please indicate your preferred method of reply?

Please note that we will be unable to quote if your church is currently under a Long Term Undertaking with another insurer. Should this become apparent later, we will be forced to withdraw our quotation. All quotations are subject to a full completion of a Church Choice Proposal form.