UMVIM accident insurance application form
Please click here to download the current
Accident Insurance application form for UMVIM,
including instructions on how to send them
and outline of coverage (pdf) *
* NOTE: to download a pdf file, you need the free Adobe Acrobat Reader
This accident insurance policy is for participants in UMVIM work projects listed in the Jurisdictional UMVIM and Mission Volunteers websites, which can be accessed by going to http://gbgm-umc.org/vim/umvimmap.htm, as well as for participants in UMVIM projects which are Advance specials or which involve working with GBGM missionaries. It is not intended for non-work trips or for language study except when required by the Individual Volunteer program.
The cost of coverage is $0.75 per person per day, including days of departure and return. Please send the accident insurance applications in ONE BATCH together with ONE CHECK and a COVER SHEET giving the team leader's name, address, phone, and email; destination; and the names and number of persons per each distinct set of dates of coverage (i.e. having the same dates of departure and return) to:
Mission Volunteers GBGM
Room 1400
475 Riverside Drive
New York, NY 10115