Markel Safety 1st Recognition- 2018 Nominations for Martial Arts

1. Safety 1st nomination form 2018 - martial arts

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You can nominate your martial arts school if you:

Have been a Markel customer for at least 3 years
Have a liability, property, or auto policy with Markel Specialty

Notes:
• Organizations with ONLY an accident medical policy are not eligible for this progam
• Your answers must apply within the past 12 months

* RESPONSE REQUIRED FOR ALL QUESTIONS (enter "None" or "N/A" instead of leaving blank)

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* 1. Basic information

Your name

Title/position

Organization name

DBA name

Any previous Org name (include what year)

Policy number

City/state/zip

Phone

Contact email

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* 2. Would you like to receive our Risk Management News electronically?

Yes

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* 3. Our organization and/or staff have received the following certification(s) or accreditation(s):

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* 4. Staff members regularly read publications containing safety advice, such as Markel's Safety Guides and Risk Management News.

Yes

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* 5. Our staff has attended the following safety seminars:

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* 6. We have made the following additional safety or risk management efforts:

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* 7. Please list any risk management/safety topics of interest for the coming year that can support your risk management efforts:

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* 8. If selected for this award, what EXACT name do you want listed on the award certicate?

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* 9. What PHYSICAL address do you want your award mailed to?
(we cannot mail to P.O. boxes). Awards will be mailed in late January.

ONCE YOU CLICK SUBMIT, YOU WILL NOT BE ABLE TO CHANGE YOUR ANSWERS.
PLEASE REVIEW YOUR ANSWERS BEFORE SUBMITTING.

About Markel — Markel Corporation Group, is owned by Markel Corporation a Fortune 500 corporation. Coverage is provided by one or more of the insurance companies under the Markel Corporation Group and policyholder services are provided by the underwriting manager Markel Service Incorporated, national producer number 27585. Insurance carrier, coverage, dividends and services availability may vary by state. Markel Service Incorporated’s business division, Markel Specialty offers both commercial and personal lines products.

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* 1. Basic information

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* 2. Would you like to receive our Risk Management News electronically?

Question Title

* 3. Our organization and/or staff have received the following certification(s) or accreditation(s):

Question Title

* 4. Staff members regularly read publications containing safety advice, such as Markel's Safety Guides and Risk Management News.

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* 5. Our staff has attended the following safety seminars:

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* 6. We have made the following additional safety or risk management efforts:

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* 7. Please list any risk management/safety topics of interest for the coming year that can support your risk management efforts:

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* 8. If selected for this award, what EXACT name do you want listed on the award certicate?

Question Title

* 9. What PHYSICAL address do you want your award mailed to? (we cannot mail to P.O. boxes). Awards will be mailed in late January.

* 9. What PHYSICAL address do you want your award mailed to?
(we cannot mail to P.O. boxes). Awards will be mailed in late January.