Forms and Reports

1005 Grand Ave โ€ข PO Box 65665 โ€ข

West Des Moines, IA 50265 โ€ข 515.223.1197

ยฉ 2024 Iowa-Missouri Conference of Seventh-day Adventists

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File a Auto Claim

File a Auto Claim


Person Reporting Incident


Basic Claim Information


Church-Insured Vehicle Information


0

Damaged Property and Other Vehicle Information


Witnesses


0
File a Property Claim

File a Property Claim


Person Reporting Incident

This is who the insurance company will contact regarding the claim


Church Information


Claim Information


Church Attendance Form

Attendance Report

This Report Should be Completed Each Month Following the Final Sabbath.


Number of Sabbaths in the Month?

Below, Slide the Slider to Select the number of Sabbaths in the Month.


4

1st Sabbath


2nd Sabbath


3rd Sabbath


4th Sabbath


5th Sabbath