FASIS Program Expansion

1. Is your District interested in participating in a FASIS property and liability program? *This question is required.

2. Please provide contact information below for whom we can provide additional information regarding the expanded FASIS program. *This question is required.

First Name

Last Name

Title

Fire District

Email Address

Phone Number

2. From where does your District currently obtain its property, liability, and auto physical damage coverage? *This question is required.

2. What is the current coverage period (example July 1 - June 30)? *This question is required.