Event Insurance Request Form

Gather everything an insurer needs to price coverage for your gathering: organizers, venue, schedule, headcount, and special conditions such as alcohol service or co-sponsorship. One submission avoids endless email back-and-forth.

Use this template

In the Claude connectors directory

Requester Information

Committee Name

Your Name

First Name

Last Name

Your Role

E-mail

Your Phone Number

Event Name

Type of Event

Event Date

Event Start Time

Event End Time

Name of Venue

Venue Address

Street Address

City

State / Province

ZIP / Postal Code

Venue Contact Name

First Name

Last Name

Venue Contact Email

Venue Contact Phone Number

Is this event co-sponsored?

Yes No Not sure

Co-sponsoring Organization

Will there be alcohol at the event?

Yes No Undecided

Number of Attendees

Event Description

Is an additional Insured Certificate required for the event?

Yes No Not sure

Legal Entity Name for Organization (Insured Certificate)

Mailing Address to Appear on Certificate

Street Address

City

State / Province

ZIP / Postal Code

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