2026 PIIAC Community Impact Awards Nomination Form

2026 PIIAC Community Impact Awards Nominations

Recognizing individuals, agencies, or insurance companies for outstanding contributions to their local communities and/or other communities around the world.
Do you know someone, an agency or an company in the Colorado insurance industry that has gone above and beyond for their community this year? Show your appreciation for them by nominating them for a 2026 PIIAC Community Impact Award!

Nominate a colleague, agency or company who deserves to be recognized for an Community Impact Award today. The nomination links will close on June 26, 2026.

The 2026 PIIAC Community Impact Awards will be announced at this year's Annual Dinner on October 15, 2026.

Award Types:

Small Agency (less than 25 employees)
Large Agency (25+ employees)
Company
Individual

PIIAC/ASC will make a donation to each winner’s non-profit of choice.

Nominee must be a member of PIIAC to be considered for the award.
Award Nominations
Your Name:

First NameLast Name
Your Agency/Company's Name:
Your Email:
example@example.com
Award Type
Nominee Name
Nominee Main Contact

First NameLast Name
Main Contact Email
example@example.com
Reason for Nominating (provide details, examples. etc.)
Optional: upload any additional evidence of community impact

Cancelof
Should be Empty:

2026 PIIAC Community Impact Awards Nominations