If you need advice, please call
Liability Brokers: 1300 881 779
Select Level of Cover
Number of Tutors / Trainers **
6 or more - Call our office or fill the form below
Credit Card No.
Select Expiration Date:
Please complete the form below together with a start Date.
When do you want cover to start?
Processing is only done through business hours. Cover is not in place until this form is received and accepted by
our office. We will then email you a tax invoice.
NOTE: A "Certificate of Currency" will not be sent until payment is made.
Does your tutoring involve manual risk exposure?
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?
Name of person making this declaration: