Public Liability Insurance for Tutors by Liability Brokers -

Public Liability Insurance for Tutors

Insurer: QBE Insurance Limited
If you need advice, please call Liability Brokers: 1300 881 779

Please select the level of cover required


No. of People *	Cover $10,000,000	Cover $20,000,000
1-2	$390.00	$480.00
3-4	$490.00	$590.00
5-7	$560.00	$700.00
Above 7	Manually Rated **	Manually Rated **

*	Number of people actively involved in the business
**	You will be contacted to discuss an appropriate premium
*** .	These rates are for tutoring of academic subjects only (other subjects will be individually rated)
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To proceed, please complete the following form.

Insured Name:

Trading Name:

ABN No.(if applicable):

Full Address:

Telephone No:

Email Address:

Start date of business:

Occupation - Tutor

Please provide a description of the type of tutoring you will be involved in:
Approximately how many students are in a class?
Where are the classes held and how often?

Manual Risk Exposure...

This policy is not available for occupations that involve a manual risk exposure ie. if you are involved in performing manual labour or the supervision of manual tasks. This would include showing others how to perform manual works eg how to lift goods.

Does your tutoring involve manual risk exposure? Yes No

ie. does your tutoring involve:
1. Manual labour or manual tasks performed by yourself (apart from measuring)
2. The supervision of manual labour or manual tasks performed by other parties
3. The responsibility of manual labour or manual tasks performed by other parties
4. The training of others on how to perform manual tasks

If "YES", please give details:

Contractors...
Do you employ contractors, sub-contractors? Yes No

If you answered "Yes", what duties do they perform?

Professional Indemnity...
Do you provide any advice, design or professional service (other than instructions or warnings provided with a product), whether or not you charge for such advice, design or professional service. Yes No

If the answer is "Yes", you should apply for Professional Indemnity Insurance.

Do you want us to send you a form for Professional Indemnity Form? Yes No

Insured's History...
Have you (or any person receiving cover under this policy) ever:

Had insurance cancelled or declined by an Insurer?

Had a proposal rejected, renewal refused or claim rejected by an Insurer?

Had any special conditions imposed?

Suffered a loss whether insured or not (last 5 years only)?

Been involved in a company that has declared bankruptcy or became insolvent?

Been liable for any civil offence or pecuniary penalty (exceeding $5,000)?

Been charged or convicted for actual or threatened damage to property?

Been charged or convicted for fraud, theft or dishonesty of any kind?

Been charged or convicted for drugs or any OTHER criminal offence?

Yes No

If you answered "Yes" to any of the above, please give details.

Declaration...
By submitting this Declaration, the Applicant acknowledges:

they are authorised by each of the other Applicants to make this Declaration,

the contents of the Declaration are true and complete,

they are under a continuing obligation to immediately inform QBE of any change in the particulars or statements contained in this Declaration or in the accompanying documents up until the contract is entered into,

they authorise QBE Insurance (Australia) Limited to give or obtain from other insurers or insurance reference bureaus or credit reporting agencies, any information about this insurance or any other insurance held by the Applicant/s.

that no cover is in place until this form is accepted by the insurer

Name of person making this declaration:

Proceeding with cover...

When do you want the cover to start?

If you want to proceed with cover you have two choices:

Send through payment now and a receipted tax invoice and "Certificate of Currency" will be emailed to you on the next business day.
Send through your details without payment and we will send through a tax invoice on the next business day. A "Certificate of Currency" is not available until the premium is paid.

NOTE: Cover is not in place until this form is received and accepted by our office.

Payment Option...

Pay Now Pay Later

If you select "Pay Later", hit the Submit button here:

If you are paying now, please complete your payment details below and then hit Submit below.

Visa MasterCard Please select type of card

Enter Credit Card No. (No gaps): eg (4545567890123456)

Select Expiration Date: example: ( MM YY )

Cardholders Name

Amount to be paid (refer premium table above)

IF AN EMAIL RECEIPT IS NOT RECEIVED, PLEASE CALL OUR OFFICE!!