Home Forms and Documents Public Liability Insurance Request Form Public Liability Insurance Request Form DAA Group Name*Contact name*Contact phone number*Contact email*Date of Event DD MM YYYY Event Time/Duration*Event to be conducted by*Event venue/address*Reason for holding this event*How will you advise the public where any money raised will be spent*Why do you feel this event is relevant/important to your Group*Number of group members to be involved*Number of spectators expected*Will members of other DAA Groups be involved in this event*Please provide any other supporting information/material you think may be relevant to your requestSignatureName First Last Date Signed Date Format: MM slash DD slash YYYY CAPTCHA