Online Form - Umbrella Insurance Program Community Groups Expression of Interest (EOI) Form


Definitions of Insurance:

Public and Products Liability Insurance

A public and products liability policy will protect you from the financial risk associated with these types of claims. For a claim that is covered by the policy, the policy will pay the costs to investigate, defend or settle such claims and will also cover the cost of compensating the injured party.

Associations Liability Insurance (only incorporated groups can obtain this insurance)

Association Liability Insurance incorporates elements of professional indemnity cover and management liability cover to protect the organisation, office bearers and employees against legal costs and damages expenses that could arise from allegations of misconduct, breach of duty, mismanagement and more.

Volunteer Workers Insurance: Death and Capital Benefits

Voluntary Workers Personal Accident Insurance provides financial compensation and cover for defined out-of-pocket expenses if an accident results in the injury or death of a volunteer.

Applicant Details


Community Group Details

Is the group currently in operation?*
Does the group currently have insurance?*
Any past claims?*
What insurance cover is required by your group? Please indicate all that is required:<br>*
Does the group currently have access to insurance through an affiliate organisation, or state or national body ?*
Is the group currently registered as a sole trader or business*
Is the group currently located/operating in the Town of Bassendean (Ashfield, Eden Hill or Bassendean)?*

Further Information

Please contact:

Anita dela Cruz

Community Development officer 

Telephone: (08) 9377 8090

Email: [email protected]


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