Imalia Family Day Care Imalia-Megaline Family Day Care 1 Am I Eligible?2 Tailor my policy3 Additional details4 Contact Details5 Your Quote6 Payment Are you 18 years or older?YesNoHave you ever been declared bankrupt?NoYesHave you ever made any claims on Public Liability or Personal Accident for Children policies in last 5 years?NoYes Date of LossAmountDetails of the ClaimAddRemoveHas an insurer ever previously declined, refused to renew, cancelled or imposed special terms or conditions on any proposal, renewal or policy held by you?NoYesPlease get in touch for further assistance. What Public Liability Limit do you require?Under Education and Care Services Regulation, educators must have a minimum of $10 million liability cover. Some clients choose $20 million for additional peace of mind.$10m$20mWould You like to add the Legal Advice and Debt Collection Services option?Unlimited telephone and email legal advice from a qualified and experienced lawyer as well as assistance with debt collection.YesNoWhat sort of care do you provide?Family Day CareIn-home CareWhat Family Day Dare Co-ordination Unit are you registered with?123 ABC Family Day Care24/7 Family Day Care3Rs Family Day CareA1 Family Day CareABC Kid's N Care Pty LtdAbiel Family Day Care Pty LtdAce Family Day CareAdvanced Family Day Care ServicesAdventurous Family Day CareAl Nur Family Day Care Pty LtdAL Raja Family Day CareAl-Huda Daycare and EducationAlbury Family Day CareAlbury Family Day Care (Victoria)Alice Springs Family Day CareAlif Family Day CareAll Areas Family Day CareAll Family Day CareAllchildrens Service Family Day Care Pty LtdAllura Family Day CareAlpha Family Day Care Services (WA)Alpha Family DaycareAlpine Family Day CareAmaary Family Day CareAmana Family Day Care SchemeAmana Kids Family Day CareAmazing Family Day Care Pty LtdAmazing Family Day Care Pty LtdAPPLES FAMILY DAY CARE PTY. 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Blue RiverEnhance Family Day Care - Brisbane CommunityEnhance Family Day Care - CapricorniaEnhance Family Day Care - Central HighlandsEnhance Family Day Care - Childers & RegionEnhance Family Day Care - EndeavourEnhance Family Day Care - HinchinbrookEnhance Family Day Care - IpswichEnhance Family Day Care - Townsville & RegionsEnhance Family Day Care - Tropical NorthEnhance Family Day Care - Warwick & DistrictEnhance FDC - GladstoneEthical Family Day CareEuphoria Family Day CareEurobodalla Family Day CareEVERLAND FAMILY DAY CARE PTY LTDExcell AcademyExcellence In Care Family Day Care SchemeEyes on Care Family Day Care Scheme Pty LtdFairfield City Family Day CareFamily Day Care CairnsFamily Day Care Gympie RegionFAMILY DAY CARE PLUSFamily Day Care Providers C & R Cowling-ScaifeFamily Day Care SouthFamily Day Care Sydney WideFAMILY FIRST FAMILY DAY CAREFamous Kids Family Day CareFantastic Family Day CareFantastic Family Day CareFantastic Kids Family Day CareFar North Family Day Care SchemeFar West Family Day Care ServicesFarah Family Day Care Pty LtdFDC UNITED EDUCATORS SCHEMEFederation Family Day CareFIRST CHOICE FAMILY DAY CARE NSW PTY LTDFIRST IDEA FAMILY DAY CARE SERVICESFirst Point Family Day CareFive Star Family Day Care Pty LtdFlamingo Family Day CareFlower Farm Family Day CareFlying Start Family Day Care SchemeForever Family Day CareFoundations Family Day CareFoundations Family Day Care ServiceFraser Coast Family Day CareFreedom Family DaycareFriendly Family Day Care Pty LtdFUN START PTY LTD.Fun-N-Kids Family Day CareFUNLAND FAMILY DAY CAREFuture Leaders Family Day CareFuture whiz Family Day Care SchemeGABI Family Day CareGabow Family Day Care Pty LtdGabriel's Family Day Care Pty. Ltd.Galaxy Day Care Pty LtdGannawarra Shire Family Day CareGardenia Family Day CareGateway to Growing Family Day Care ServicesGenesis Family Day Care ServicesGenius Family Day CareGiggles N Wiggles Family Day CareGin Gin Family Day Care SchemeGlen Eira Family Day CareGlobal Family Day Care Pty LtdGLOBAL LEARNING LINKGlobal Village Family Day CareGlobe Talent Family Day Care Pty LtdGlory Family Day Care SchemeGlory Family Day Care WAGold Family Day CareGolden Kids Family Day CareGolden Kids Family Day CareGolden Plains Family Day CareGOLDEN WATTLE FAMILY DAY CARE PTY LTDGoodWill Family Day CareGoondiwindi & District Family Day CareGoondiwindi & District Family Day Care SchemeGoulburn Family Day CareGrampians YMCA FDCGreat Beginnings Family Day CareGreat Beginnings Family Day Care ServiceGreat Beginnings FDCGreat Western Family Day CareGreater Dandenong Family Day Care SchemeGreater Hume Children ServicesGreater Hume Children ServicesGreater Shepparton Family Day CareGrow Family Day Care IDFSGrowing Kids Children ServicesGunnedah Family Day CareHabib Family Day Care Services Pty LtdHappy 'N' Friendly Family Day Care Pty LtdHappy 'N' Friendly Family Day Care Pty LtdHappy Campers Family Day CareHappy Child Family Day CareHappy Kids Family Day Care ServiceHappy Nappy Family Day CareHastings Family Day CareHatchling House Family Day CareHeadstart Family Daycare CanberraHeavenly Family Day CareHee Mang Family Day Care SchemeHelping Hands Family Day CareHELPING HUGS FAMILY DAY CARE PTY. LTD.Hervey Bay Family Day Care SchemeHilaac Family Day CareHills Murraylands Family Day Care SchemeHobsons Bay Family Day CareHolistic Approach Family Day Care SchemeHolistic Approach Family Day Care SchemeHolistic Approach Family Day Care SchemeHolistic Approach Family Day Care SchemeiCare Family Day Care Pty LtdIgnite Minds Pty LtdIllawarra Family Day CareIn Loving Hands Family Day CareInnovation Family Day Care ServiceInsight Family Day Care Scheme Pty LtdInspired Family Day Care ACTInspired Family Day Care QLDInspired Family Day Care ServiceInspired Family Day Care VICINSPIRED KIDS FAMILY DAY CARE PTY LTDIntereach Family Day CareIntereach Family Day Care VicIt All Starts Here Family Day Care Scheme PTY LTDJ.LII Early Learning Family Day CareJacaranda Family Day Care service Pty LtdJellybeans Family Daycare Pty LtdJPS Family Day CareJuba Star Family Day Care Pty LtdJust For Kids Family Day CareJust Kids Family Day Care SchemeKA Family Day CareKath Dickson Family Day Care - Metropolitan Home Based ServicesKath Dickson Family Day Care- East Coast Home Based ServicesKCL Family Day CareKempsey Family Day CareKentish Family Day Carekiddie cove family day careKiddiewink FDCKids 4 Care Family Day CareKids At Home Family Day CareKIDS AT PLAY TIME FAMILY DAY CAREKIDS BELONG FAMILY DAYCAREKids Belong Family Daycare Pty LtdKids Care Family Day Care Pty LtdKids Choice Family Day Care P/LKids Community Family Day CareKids ConnectionKids Corner Family Day CareKids Early Learning Family Daycare Blacktown CityKids Focus Family Day Care Scheme Pty LtdKids In - Family DaycareKids in Action Family Day CareKids Individual Daycare SolutionsKids Kare Family Day CareKids Korner Family Day CareKids Learning Family Day CareKids Link Family Day Care Pty LtdKids on Campus Family Day CareKids Planet Family Day Care ServicesKids R Creative Family Day CareKids R Us Family Day CareKids R' Kids Family Day Care ServiceKids Time Family Day CareKids Time Family Day Care Pty LtdKids Town Family Daycare Pty LtdKids Village Family Day CareKids Village Family day careKidspace Family Day Care ServicesKidstart Family Day CareKIDZ DREAM FAMILY DAY CARE PTY LTDKidz Harmony FDC Pty LtdKidz Paradise Family Day CareKidz Planet Family Day CareKidz&Co Family Day Care Pty LtdKidzone Family Day CareKikivi Education CentreKingborough Family Day Care SchemeKiwi Family Day Care Pty LtdKu-Ring-Gai Family Day CareKutie Kids Family Day CareKutub Family Day Care Pty LtdKW 5 Star Kids ServicesLabaale Family Day CareLABAALE FAMILY DAY CARELady Gowrie - Family Day Care SchemeLadybird Family Day Care ServicesLake Macquarie Family Day CareLatrobe City Family Day CareLaugh & Learn Family Day Care Education & TrainingLaugh N Learn Family Day CareLaunceston Family Day CareLaunceston Regional Family Day CareLeaping LearnersLEARN AS YOU PLAY FAMILY DAY CARE PTY. 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Ltd.Little Star Family Day Care ServiceLittle Star FDC SchemeLittle Steps Family Day CareLittle Steps Family Day Care Pty LtdLouera Family Day Care SchemeLoulou DaycareLove and Learning Family Day Care ServicesLove and Mercy FDCLovely Kids Family Day CareLoving & Caring Family Day CareLOVING KIDS FAMILY DAY CARELumeah Family Day careMacaw Solutions Family Day CareMackay Family Day Care SchemeMaitland Family Day Care SchemeMalak Family Day Care Pty LtdMarlin Coast Family Day CareMaroondah Family Day CareMarrickville Family Day CareMaryborough and Districts Family Day Care SchemeMAS FAMILY DAY CAREMe2 Family Day CareMecca Family Day CareMelbcarlton Family Day CareMELBOURNE FAMILY DAY CAREMelton City Council Family Day CareMersey Leven In Home Child Care/Family Day CareMid Coast Family Day CareMid-Western Regional Family Day Care Scheme.Mildura Family Day CareMildura Family Day CareMiller Family Day Care SchemeMission Australia Family Day Care South West SydneyMission Australia Family Day Care Western SydneyMith Baai Family Day CareMona Family Day CareMonaro Family Day CareMonash Family Day CareMoonee Valley Family Day CareMoonlight Family Day Care ServicesMoorooka Family Day CareMoree & District Family Day CareMoreland Family Day CareMornington Peninsula Family Day CareMother's Choice Family Day CareMother's Choice Family Day CareMotherly Love Family Day careMothers Love Family Day CareMOTHERS TRUSTED CAREMount Alexander FDCMount Isa Family Day Care SchemeMudane Family Day CareMummina Children's ServicesMuna Family Day CareMundubbera Family Day Care SchemeMurilla Family Day CareMurrindindi Family Day CareMy Family Day Care ServiceMy Home Your Home Family Day Care Pty LtdMy Place Family Day CareNadar Family Day CareNAHLA FAMILY DAY CARE PTY LTDNambucca Valley Family Day CareNature Alliance Family Day Care ServiceNectar Family Day Care ServiceNefe's Family Day CareNEW GENERATION FAMILY DAY CARE PTY LTDNewcastle Family Day CareNewton Family Day CareNEXTGEN FAMILY DAYCARE Pty LtdNgala Bright Stars Family Day Care ServiceNile Family Day CareNorth Metro Family Day Care SchemeNorth Sydney Family Day Care SchemeNorthern Beaches Council Family Day CareNorthern Children's Network Family Day Care & In Home CareNorthern Illawarra Family Day Care SchemeNorthern Rivers Family Day CareNORTHERN RIVERS FAMILY DAY CARE QUEENSLANDNorthside Family Day Care SchemeNorthwest Family DaycareNouh Family Day CareNovelty Family Day CareNURTURE CHILDCARE AND EDUCATION SERVICESNurturing Family Day Care Scheme PTY LTDOMEGA FAMILY DAYCAREOne Tree Family Day Care ServiceOpen Arms Care Inc. Family Day CareOrange Family Day CareOur Future Family Day CareOur Village Family ChildcareOZ Family Day CarePanda CareParent's Choice Family Day CarePARKLANE FAMILY DAY CAREPassionate Minds Family Day Care ProvidersPeace Of Mind Family Day CarePebbles Family Day Care Pty LtdPerfect Family Day CarePerth Family Day Care ServicePink Lotus Family Day Care P/LPlatinum Family Day CarePlay House Family Day CarePLAY N LEARN FAMILY DAY CARE PTY. LTD.PlayHouse Family DaycarePolaris Family Day CarePort Stephens Family Day CarePRECIOUS FAMILY DAY CAREPrecious Stars Family Day CarePremier Choice Family Day CarePrime Family Day Care and Consulting ServicesQueanbeyan Family Day CareQueanbeyan Family Day CareRAINA'S FAMILY DAY CARE SCHEME PTY LTDRainbow Bridge Family Day CareRainbow Bridge Family Day Care PTY LTDRainbow Dreams Family Day CareRainbow Land Family Day CareRawan Family Day Care Pty LtdRed Roses Family Day Care Pty LtdRedbank Family Day CareRegional Choices FDCRIGHT CHOICE FAMILY DAY CARERise N Shine Family Day Care Pty LtdRoberta Jull Family Day Care ServiceRowena Family Day CareSAFE HANDS FAMILY DAY CARESafeway Family Day CareSHARAF FAMILY DAY CAREShellharbour City Family Day CareShellharbour-Kiama Family Day CareShepparton Family Day CareSherif Family Day CareShine Family Day Care Pty LtdShining Stars Family Day Care ServicesShoalhaven Family Day CareSky High Family Day CareSmall Miracles Family Day Care Pty LtdSmile Kids Family Day CareSouth East Riverland Family Day Care SchemeSouth West Family Day CareSouth West Family Day Care CentreSouth West Regional Family Day CareSouthern Childcare ServicesSouthern Cross Family Day CareSouthern Districts Family Day Care SchemeSouthern Grampians Shire Council Family Day CareSouthern Vales Family Day Care SchemeSpecial World Family Day CareSpring Early DevelopmentSquiggles & Giggles Early Years Day CareStar Kids Family Day CareStep By Step Family Day CareStepping Stones Education and Care Pty LtdSuccessful Children's Family Day CareSumer Child Care Pty LtdSundus Family Day Care Pty LtdSunrise DaycareSunshine Family Day CareSuper Family Day CareSurf Coast Shire Family Day Care SchemeSutherland Shire Council Family Day CareSwan Hill Regional Family Day Care ServiceSweet Angels Family Day CareSydney Family Day Care SchemeSydney Star Family Day Care Pty LtdTablelands Family Day Care SchemeTalent Excellence Family Day CareTamworth Family Day CareTaree Great Lakes Gloucester Five Star Family Day CareTeddy Bear FDC SchemeTeeny TinyThe Royal Family Day Care Pty LtdTIME2PLAY FAMILY DAY CARE SERVICE PTY LTDTogether Children Family Day CareTola Kids ServicesTownsville Inner City Family Day Care SchemeTranquillity Family Day CareTwinkle Family DayCare Pty LtdTwinkle Turtle Children's ServicesTwo Tiny Bears Pty LtdUNIBELLA Family Day CareUnico FDCUnicorn Family Daycare ServiceUnit Kids Family Day CareUniting Gippsland Family Day CareUniversal Family Day CareUniverse Family Day Care Pty LtdUp and Ready Family Day CareUpper Hunter Family Day CareV.I.P. Family Day Care Pty LtdVICSEG New Futures Family Day CareVision Family Day Care ServiceWA - Multicultural familydaycareWA BRIGHT KIDS FAMILY DAY CAREWagga Wagga Regional Family Day CareWaitara Children's Services Family Day CareWangaratta Family Day CareWanslea Metropolitan Family Day CareWanslea Regional Family Day CareWarrnambool City Council Family Day CareWattle Tree Family Day CareWaverley Family Day CentreWCS Family Day CareWee Kids Family Day Care Pty LtdWeipa Family Day Care SchemeWerribee Early Years Family Day CareWesley Mission Queensland Family Day CareWest Country Family Day Care SchemeWestern Riverina Family Day Care SchemeWestern Star Kids Family Day CareWhite Star Child Care ServicesWhitsunday Shire Family Day Care SchemeWhittlesea Family Day CareWilloughby/Lane Cove Family Day Care SchemeWimmera Regional Family Day CareWindermere Family Day CareWingecarribee Family Day CareWISE FAMILY DAY CAREWollondilly Family Day CareWombat Family Day CareWyndham Early Learning Family Day CareWynnum Family Day CareYMCA Brisbane Family Day CareYMCA Family Day Care ServiceYMCA Gold Coast Family Day CareYoungstar Family Day CareYour Dream My DreamYWCA Family Day CareZahra Family Day Care Pty LtdZEBRA GENERATION FAMILY DAY CARE SCHEME PTY LTDOtherOther*What is your address?Street NumberStreet NameSuburbState*NSWVICQLDACTWANTSATASPost codePreferred Contact NumberEmail Address Do you have any relief educators that you would like to name on the policy?NoYes What is the name of your relief educator?Add Relief EducatorRemove Relief EducatorDo any other interested parties need to be named on your policy?This might include: the landlord of rented property; the local council if you rent council-owned property, or; the financial institution you have your mortgage with. NoYes What is the name of your interested party?Add Interested PartyRemove Interested PartyWhat date would you like the policy to start?By default, your insurance cover will start today at 4pm AEST. You can forward date cover to start within a month. We can also back-date cover, however, we will need to review your details before we give you a formal quote. First name*Last name*RelationshipNew BusinessRenewalEndorsementCancelledPlease provide your date of birth Combined liability NIL excess for Public, Products Liability and professional Indemnity Full details can be found in the policy wording What is not included Public liability relating to the following: Aircraft/Watercraft Asbestos Amusement Rides/Hazardous activities (limited cover available) Contractual Liability unless designed in the schedule Injury to Employees Terrorism Vehicles Personal Accident for Children Sum insured – $20K Death Benefit for Family Day Care Educator and Child: Accidental Death Benefit – $20K Out of Pocket Expenses for non-emergency events – $5K Full details can be found in the policy wording Telephone Legal Advice The Telephone Legal Advice and Debt Collection Service provides benefits in respect of your family day care business activities. Unlimited telephone and email legal advice from a qualified and experienced lawyer as well as assistance with debt collection. What is not included Legal matters relating to: Criminal Law Family Law Insurance Financial Advice Taxation Advice Disbursement expenses including court filing fees or fees to engage a sheriff to serve court proceeding notices Cancellation Terms You will be entitled to a pro-rata refund (based on the number of policy days that have elapsed), with no hidden admin charges, provided that You have not made a claim or taken benefit from any part of the policy. Cooling-off Period You will be entitled to a full refund provided that: The cancellation is made within the first 21 days of purchase; No care has taken place during the policy period; You have not made a claim or taken benefit from any part of the policy. Please provide your signature I declare that the information that I have provided is correctSignature Annual Premium OptionAnnualMonthlyTotal amount* Price: $ 1.00 First installment amount*Recurring amount* Your total amount is $. Your first installment amount is $. Your recurring amount is $ for 10 payments. Credit Card American ExpressDiscoverMasterCardVisa Card Number Expiration Date Month010203040506070809101112 Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name CommentsThis field is for validation purposes and should be left unchanged.