Community Matters Scheme

Please complete your organisations details below (page 2 of 3)

Are the premises you use of standard construction (i.e. brick/stone with slate/tile roof)
If no, please state the construction
Aims/activities of organisation (e.g. how often you meet, how many meet together, what activities you do and how often, etc.):
Details of any activities away from the premises
State number of:
	active volunteers
	full time employees
	part time employees
	members
Please indicate Gross annual turnover		£
Total annual payroll (estimate)		£
Please state your existing insurer and renewal date
Have there been any claims in the past 3 years
If yes, please provide details of the incidents) including date and amount claimed
Has insurance ever been refused
Any other information

Page 2 of 3

Finance ReDirect Ltd. Registered company 3900786
Finance ReDirect is authorised and regulated by the Financial Services Authority (FSA Ref: 306507) in respect to general insurance. It is the trading subsidiary of the registered charity Create (reg. no. 1078672)
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