As we prepare for the 12/31/2019 renewal of the Florida Conference's property, casualty, and workers' compensation insurance program, we ask that you complete this brief survey and payroll report to provide us with the most up-to-date information for your church.

To ensure that churches are provided with appropriate coverage and billed accurately, it is essential for each church to review and update its insurance information.

Please complete this survey in its entirety.

Please note: This survey must be completed in one session. You can return to your survey anytime through August 30th.  You must access survey via the same IP address as your original entry.

Thank you.

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* 1. Church Name

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* 2. GCFA Number

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* 3. Street Address

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* 4. City

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* 5. State

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* 6. Zip

If you would like a copy of this survey, please PRINT this screen before going to the next page.

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