Lodge Insurance Declaration
Insurance for the 2026-2027 period is now due. Are you planning on insuring during this period?
Are you having insurance for 2026-27?
(Required)
Yes
No
Please advise why you are not insuring for 2026-27
(Required)
If you are being insured please confirm the amounts for BULIDING VALUE, RENT RECEIVED, CONTENTS VALUE and GENERAL PROPERTY VALUE are correct
Are these amounts correct?
(Required)
Yes
No
As you have indicated these values are incorrect, please specify the correct values below.
Building value
Rent received
Contents value
General property value
Masonic Hall Contact Name
Masonic Hall Contact Email
Lodge Number & Name
(Required)
Name of Person Submitting
(Required)
Email
(Required)
Signature
(Required)
Additional comments
CAPTCHA