SAM Liability Insurance Application Form

If you would like Jeama to investigate SAM liability insurance for you, please complete the following form.

We would expect to find coverage for, maybe, 80% of applicants using the information requested below. If your organization is in the 20% – maybe because of the nature of your activities or your claims history – we will look into a more bespoke de-risking program for you.

Please answer all questions. Up-load separate documents as necessary. If we are successful in finding you an insurer, this application will need to be signed and dated by the highest ranking clergy or executive of the applicant before coverage can go into effect.