Donation Requests

Donation Request Process & Policies

Community Insurance & Associates is committed to supporting the local communities in which our offices reside in. While it is our goal to fulfill as many requests as possible, we are unable to honor every request.

Please note the following guidelines for requesting and receiving a donation from Community Insurance & Associates:

All charitable donation requests must be made via the online donation request form.
Requests must be made a minimum of 30 days prior to the event date. If your event is within 30 days of your request, we cannot guarantee you will receive a response.
Please fill out the form completely, failure to do so may result in it being declined. Completely the form does not guarantee a donation.
Please allow 10-15 business days for a response from the date you submit your request.
If your request is approved, you will receive an official confirmation by email, so please include a valid email address and contact information.

Organization Name*
Type of Organization Name / 501(C)(3) or Tax ID#*
501(C)(3)*
- Yes
- No
Contact Name & Title*
Phone*
Email*
Organization Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Explanation of non-profit organization's mission:*
Please specify your donation request:*
Event Name*
Event Date*
MM slash DD slash YYYY
Estimated Number of Attendees*
Please tell us about the event and/or how our donation will be used*
Have you received a donation of Community Insurance before?*
- Yes
- No
Will there be any mention of Community Insurance in program, signage, or advertising (please specify)?*
Additional Notes or Info

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Donation Request Process & Policies

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