Insurance Renewal Questionnaire - Parish - Diocese of Austin

Parish, City: REQUIRED Please fill out this field.

Number of registered parishioners: REQUIRED Please fill out this field. Please enter an integer (number).

Does your parish own any fine arts or costly artifacts? REQUIRED Yes No Please fill out this field.

If yes, please provide a description and value for each item.

Does your parish operate a day care center? REQUIRED Yes No Please fill out this field.

If yes, how many children are currently enrolled? Please enter an integer (number).

If yes, how many full-time teachers are employed? Please enter an integer (number).

If yes, how many part-time teachers are employed? Please enter an integer (number).

Does your parish operate a gift shop or resale store? REQUIRED Yes No Please fill out this field.

If yes, what are the average annual gross sales/receipts? Please enter an integer (number).

Does your parish own any drones? REQUIRED Yes No Please fill out this field.

If yes, please describe the intended use. Please enter valid data.

If yes, please list the make, model and weight below.

Does your parish own any vehicles? REQUIRED Yes No Please fill out this field.

If yes, how many:

Private passenger cars Please enter valid data.

Trucks Please enter valid data.

Vans (include max # of passengers accommodated per vehicle) Please enter valid data.

Buses (include max # of passengers accommodated per vehicle) Please enter valid data.

Trailers Please enter valid data.

Survey submitted by:

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Email REQUIRED Please fill out this field. Please enter an email address.