Thankyou for taking part in this Insurance Survey

Our team at Coverforce Complete are working on a new insurance solution designed to provide affordable and comprehensive cover for businesses delivering nature-based learning, outdoor recreation and adventure activities.

This short survey will help us understand the activities and risks involved so we can approach select insurers and assess the viability of developing a specialised insurance solution for this sector.

Your Privacy Matters The information we collect will only be used for the purpose stated above and will not be shared with third parties for marketing or mailing lists. Coverforce is committed to protecting your privacy in accordance with the Privacy Act 1988 (Cth) (the Act) and the Australian Privacy Principles (the Principles). You can read our Privacy Policy here.

General Business Information

Insured Name *

Contact Name *

Email Address *

Years of business experience *

Which state is your business located? *

Number of Directors *

Number of Employees *

Is the insured a member of any associations? *

YesNo

Association Name *

Estimated annual turnover on a 12-month basis *

Business Activities

Please provide a description of your business activities *

Please provide a percentage (%) breakdown of your turnover based on your activities below:

Camping / overnight outdoor programs:

Bushwalking / Hiking:

Canoeing / Kayaking:

Tree Climbing:

Ropes Course:

Rock Climbing / Abseiling:

Survival skills / Bushcraft:

Nature-based learning / Forest school programs:

After School Outdoor Programs:

School Holiday Outdoor Programs :

Other :

Other Activity, please specify: *

Total *Must be 100%

Who typically participates in your activities? (select all that apply) *

Early childhood (0–5)Primary school (5–12)Secondary school (12–18)Adults (18+)

What is the typical number of participants per session or activity? (Select the closest option) *

Are your activities supervised by trained or qualified instructors? *

Yes, all activities are supervised by qualified instructors or facilitatorsYes, activities are supervised but formal qualifications are not always requiredNo, activities are generally self-guided or unsupervised

What types of training or qualifications do your instructors hold? (Select all that apply) *

Outdoor recreation / adventure activity certificationCurrent First Aid / CPR certificationWorking With Children CheckIndustry-specific training (climbing, paddling, ropes etc.)Internal training programOther (please specify)

Other, please specify: *

Public Liability Insurance Details

What is your current limit of indemnity for your Public Liability policy? *

Please specify

Current Policy Expiry Date *

Who is your current Public Liability Insurer? *

What is your excess/deductibles on your current policy? *

What is your base premium for your current Public Liability policy? *

Claims History

In the last 5 years, have you had any reportable notifications which have been disclosed to your insurer? *

YesNo

Number of notifications

In the last 5 years, have you had any claims which have been disclosed to your insurer? *

YesNo

Number of claims

Date of incident

Date claim was made

Value including indemnity and costs either paid or reserved by your insurer

Professional Indemnity Insurance

Do you provide any advice, consulting, testing, design, training, or other professional services of a skillful nature (other than instructions or warnings provided with a product) that you provide to third parties for an agreed fee, or where you collect revenue specifically for the provision of those services? *

YesNo

Do you require Professional Indemnity Insurance? *

YesNo

Who is your current Professional Indemnity Insurer?

Current Policy Expiry Date

What is your current Limit of Indemnity for your Professional Indemnity Insurance policy?

Please specify

What is your fee income for the last financial year?

What is your excess/deductibles on your current policy?

What is your base premium for your current Professional indemnity policy? *

Please describe your business activities

Please provide details of your qualifications

PI Claims History

In the last 5 years, have you had any reportable notifications which have been disclosed to your insurer? *

YesNo

Number of notifications

In the last 5 years, have you had any claims which have been disclosed to your insurer? *

YesNo

Number of Claims

Date of Incident

Date of Claim

Value including indemnity and costs either paid or reserved by your insurer

By submitting this form you agree you are authorised to complete this information of behalf of the insured and that all information provided is accurate as at the submission date.

Business Activity total MUST equal 100% Please resolve before continuing

Coverforce Complete Pty Ltd
ACN 006 125 668 | AFSL 246584
Phone: (03) 9887 2777