Insurance Request Form
Insurance requests can be submitted to the insurer no more than 30 days before your event. If you need it before that time please email jweseman@dfl.org and we will do our best to accommodate you.

All information collected from this form are required. Please have on hand contact information for the local unit contact person, the details of the event, and the contact information for the site event contact person.
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Name *
Phone Number *
Party Unit *
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