Church CategorisationInitial response form

Please return this form in the envelope provided by 14 July 2014

Please complete a separate sheet for EACH CHURCH IN YOUR PARISH (more copies are available if you are unable to copy the sheet locally - please ask your archdeacon)

Name of Parish

Name of Church

1) This church is listed as :

a) Grade 1 b) Grade 2* c) Grade 2 d) unlisted

(please delete as appropriate)

2) Which category best describes the PCC proposal for this church?

i) Key mission church

ii) Local mission church

iii) Celebration (festival) church

iv) Church for which the long term future is uncertain

3) With which company is the church insured?

a) Ecclesiastical Insurance Group (EIG)

b) NFU

c) Other (please specify)

4) What is the insurance value of the church (most recent valuation) £

5) What is the current annual insurance premium? £

6) What proportion of the total insurance value of the church is insured? %