Landcare Regional Body: Information Request and Insurance Renewal Form

Landcare Regional Body: Information Request & Insurance Application

Please use this form to provide updated information about your Regional Body, and renew/apply for insurance with Landcare NSW for 2025/26
Thank you for providing updated information about your Region, and your continued support.

There are three main steps you will have to complete as part of this process:
1. Please indicate whether or not you wish to access insurance through Landcare NSW as a Regional Body.
2. Complete the below form to share up-to-date details about your Region.
3. If you wish to access insurance, please complete Part II - Financials.
4. Pay your invoice insurance upon receipt (if applicable).
PART I - GROUP DETAILS
We are...*

Looking to access Landcare NSW insuranceNot interested in Landcare NSW insurance, and only providing updated information via this form.
Regional Body Name*
Address*

Street Address

Street Address Line 2

CityState

Postcode
Does your group have a website and/or social media pages you can share with us? This will allow us to promote your content on the Landcare NSW socials.*

YesNo
Website
e.g., https://landcarensw.org.au/
Facebook
e.g., https://www.facebook.com/LandcareNSW/
Instagram
e.g., https://www.instagram.com/landcare_nsw/ or @landcare_nsw
X
e.g., https://x.com/LandcareNSW
LinkedIn
e.g., https://au.linkedin.com/company/landcare-nsw
Please provide contact details for the primary contact person within your group.

Note, this will be the main point of contact for all important notices, including invoices, invitations to our AGM, our Connections newsletter, invitations for grants and other funding opportunities.

It is the responsibility of this nominated primary contact to cascade and forward on important information and announcements as appropriate.
Primary Contact Name*

First NameLast Name
Position in the organisation (e.g., Treasurer)*
Primary Contact Phone Number*
Please enter a valid mobile number.
Primary Contact Email Address*
example@example.com
Secondary Contact Name

First NameLast Name
Secondary Contact Phone Number
Secondary Contact Email Address
example@example.com
Maintaining a member list

Please note that you have a responsibility to maintain an up-to-date list of your current members.

If you do not currently have a member register, please contact us for support and guidance. A template can be found here.

Who is a member?

The legal definition of a member "of a not-for-profit organisation is someone who has satisfied the requirements of formal membership of the organisation".

Your group's Constitution will include further specific formal definitions of who qualifies as a member.
How many individual members (if applicable) does your group currently have?*
If unsure, please provide an approximate number.
Do you have member groups (that are separate legal entities)?*

YesNo
Please list all your member groups (i.e., groups that are a member with your Regional Body, but remain their own legal entity). If known, include the number of individual members of each group. *
A sub-committee is defined in according to NSW Associations Law & Regulation.

It is governed and auspiced by the Committee of an incorporated association or other legal entity. A sub-committee is not a legal entity in its own right, and cannot hold an ABN or enter into a contract.

For sub-committees that identify as local Landcare Groups and are recognised as a Landcare Group by a Landcare group name/logo, the following applies:
- They are eligible for membership with Landcare NSW
- A $50 membership fee applies per sub-committee listed on a Landcare Group’s membership application
- Are insured under its “Parent” Landcare Group provided that this group is an insured member of Landcare NSW
Do you have sub-committees (that are governed by your Regional Body and are NOT separate legal entities)?*

YesNo
Please list all your sub-committees (that are governed by your group and are NOT separate legal entities). Include contact details (email and phone) for each committee's primary contact and representative (if different to primary contact). *
PART II - FINANCIALS
Landcare NSW insurance fees for Regional Bodies are determined based on your group's expenditure during the 12 months immediately prior to your application.

E.g., if you apply for/renew your insurance in June, we will ask for your expenditure for the period May-May.

Expenditure is your Group/Entity's expenses (what you have spent) for the immediate past 12 months at the time of applying for membership minus any monies given to another LNSW Member Group.

Examples include:
- Program Costs: Expenses directly related to delivering your mission, such as community services, educational programs and initiatives, or environmental conservation and revegetation efforts.
- Staff Salaries and Benefits: Wages for employees, including health benefits, superannuation, and training to ensure they can effectively support the group.
- Administrative Costs: Office rent, utilities, insurance, legal fees, and technology expenses (software, computers, website hosting).
- Fundraising Costs: Marketing, event planning, donor outreach, and grant writing efforts to secure funding and sustain operations.
- Volunteer Support: Costs associated with recruiting, training, and supporting volunteers, such as background checks, uniforms, and travel reimbursements.
- Outreach and Advocacy: Campaigns, workshops, or public awareness initiatives that align with your mission.
- Equipment and Supplies: Any materials needed to run programs, including medical supplies, educational resources, or operational tools.
Insurance for Regional Bodies is calculated by the same criteria as for Landcare Groups.

The following fee structure applies for the FY2025-26:
The Landcare NSW insurance program for Regional Bodies includes three standard insurance policies:
- Volunteer Workers Personal Accident Insurance
- Public and Products Liability Insurance
- Protector / Association Liability Insurance
Once your application/renewal has been processed, the primary contact will be emailed an invoice for the group's insurance fees, followed by a Certificate of Currency confirming your insurance cover once the invoice has been paid.
The expenditure to be used for fee calculation is for the 12-month period ending on...*

DayMonthYear
Date
Please indicate your expenditure during the 12-month period ending at the above stated date. E.g., if you have entered 30 April 2025 above, please provide your group's total expenditure during the period 1 May 2024 - 30 April 2025.*

$0 - $999$1,000 - $9,999$10,000 - $29,999$30,000 - $99,999$100,000 - $999,999>$1,000,000
PART III - DECLARATIONS
Please tick the following to confirm your Delegate's understanding and agreement:*

We agree to comply with the Constitution of Landcare NSW.The details provided in this application are true and correct at the date of submission, and the applicant group will inform Landcare NSW of any change in circumstances or group details.The group agrees to notify Landcare NSW in writing of any proceedings (criminal or civil) or demands made against Committee Members or Officers of the organisation in their capacity as Committee Member or Officer, and if such proceedings or demands have been made in the past or are pending, the organisation has informed Landcare NSW or agrees to do so immediately.
The Landcare NSW Constitution can be accessed here.
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Landcare Regional Body: Information Request & Insurance Application

PART I - GROUP DETAILS

PART II - FINANCIALS

PART III - DECLARATIONS