Name: Jackson County – Forestland Income Workshop
Start: 2019-08-28T09:00:00-05:00
End: 2019-08-28T14:00:00-05:00
Location: Scottsboro VFW Post

Event Liability Insurance Application

Counties should use this form to request coverage under the ATFA umbrella liability insurance policy for specific events held by the chapter.

Member ID
County
Date of Application
Name of Insured
Address of Insured
Street Address Address Line 2 City ZIP / Postal Code
Location of Event (If Different From Above)
Street Address Address Line 2 City ZIP / Postal Code
Number of People Anticipated
Description of Event