BEFORE COMPLETING THIS YEAR’S COMPLIANCE SUBMISSION, YOU MUST REVIEW THE LICENSING AGREEMENT AS YOU WILL BE REQUIRED BELOW TO ACCEPT IT ON BEHALF OF YOUR CLUB.

CLICK HERE TO DOWLOAD AND REVIEW

2023 Compliance Submission

Name(Required)

INTERNAL REVENUE SERVICE

Have there been any changes to your club's EIN or the club's status with the IRS?(Required)
Has your club filed its most recent 990 with the IRS?(Required)

GOVERNANCE

Has your Civitan club adopted any changes to the club's incorporation with the state or its governance documents (bylaws/policies)?(Required)
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    OTHER ENTITY ASSOCIATED WITH YOUR CIVITAN CLUB

    Does your club have a foundation or separate entity associated with it?(Required)

    ADDITIONAL INSURANCE

    Besides the Civitan International insurance policy covering clubs, has your club secured any of the following ADDITIONAL INSURANCE for the current year?(Required)

    VULNERABLE COMMUNITIES PROTECTION

    Have your club leaders recently reviewed Civitan International's Vulnerable Communities Protection Guide?(Required)
    To the best of your knowledge, have all your club members who are required to secure a current background check done so?(Required)

    LICENSING AGREEMENT

    The Civitan brand is trademarked and the property of the organization. To protect the organization and its brand, Civitan International is now requiring a formal agreement by any entity using the Civitan brand. Have you reviewed this agreement (available for download at the top of this page) and do you accept on behalf of your Civitan club?(Required)

    After clicking submit, you should receive an email notification that includes all of the information you provided in this form. If you do not receive the confirmation email in a timely manner, please check your spam and junk folder(s). If you are having trouble, please email growth@civitan.org.