Urban Insurance Partners Institute
Web Site
Community Resources

Thank you for assisting us in compiling information on your organization.

We are building a Web site for the insurance industry that will become a major resource for insurance companies on urban affairs. Therefore, we would like to include information that will help insurers gain a better understanding of your organization.

Please take a few minutes to review and complete this information sheet. Also, please understand that we may not be able to include all the information you wish to have posted. However, we have asked for contact names and addresses, as well as your organization’s Web address, which will enable interested companies to access more complete information.

The Urban Insurance Partners Institute board reserves the right to select all items that will be carried on the UIPI web site.

Organization Profile

Name of Organization

Purpose (check all that apply for your main purpose and significant activities)
       
          Education
          Community development
          Research
          Housing
          Social services
          Advocacy
          Lobbying
          Political
          Government affiliated: Federal State Local
          Foundation

Tax Status

Year Founded

Annual Budget

Total number of full and part time staff

Mission

Do you currently partner with insurers or representatives of the insurance industry?
Yes
No

If yes, in what ways?

Do you educate homeowners about insurance?
Yes
No

If yes, how?

Are any insurance industry companies or agencies represented on your board? 
Yes
No

If yes, which ones?

Recent accomplishments and major awards?

Officers and titles

Contact person and contact information

Organization Web site address