The Diocese of Newark Online
Church Insurance Downloads

For those churches which have their property and liability insurance with the Church Insurance Company

John Zinn

From the Church Insurance Agency Corporation:

As  the insurance contact for your diocese, please see the enclosed material. It is our intent to provide you with additional information to aid your parishes in their requests for certificates of insurance. Please forward to your parishes in any manner you choose. You could include in a newsletter or simply forward this to all parishes in your Diocese.

We thank you in advance for your cooperation.

Kathy

Kathy Bergeron
Church Insurance Agency Corporation
Program Coordinator
800-819-2984 option 4
802-753-1351 direct
802-753-1387 fax
kbergeron@cpg.org

Certificate of Insurance Request Form Letter (PDF File)

Certificate of Insurance Request Form (Word Document)
Certificate of Insurance Request Form (PDF File, for printing)

Waiver of Insurance (Word Document)
Waiver of Insurance (PDF File, for printing)