• 2024 Season QRL Insurance Declaration

    Senior (U18's and Above) Teams Only

  • The QRL Insurance process in 2024 has changed.

    This declaration is now solely for senior teams only. Junior players insurance for 6-17 year olds, who are participating in teams up to and including U17's are now automaticlly included within their QRL player reistration. The below is only for U18 teams and above. 

    Please follow the below steps in order to have your senior teams or local league insured through the Community Rugby League Insurance Program. This form caters for all levels of insurance requirements. 

    Step 1 - Please complete each section below (only those sections that are applicable to you) and press the Submit button at the bottom. This will send your form electronically to the Gallagher Sport team. 

    Step 2 - Gallagher will then email your 2024 QRL Insurance Invoice for payment (including a monthly repayment option if that option is selected). 

    Note: Once you hit the submit button, the declaration is both sent and stored within the system. We will do our best to provide you with your Invoice for payment in a timely manner, however in peak periods there will be a delay.  

     

  • CLUB DETAILS SECTION

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  • Please Note: The Community Rugby League National Insurance Program does not provide cover for the hiring out of club facilities to third parties, or selling alcohol outside of game day. Should your club conduct these activities, you will require a additional liability policy. Select Yes to either question above, and Gallagher Sport will provide a quote to fill this additional activity. 

  • Note: Should your club employ staff, or pay volunteers, you could be required by law to take out a Queensland Government Workers Compensation policy.
    We strongly recommend that you check your legal requirements and make contact with the Queensland Government Workers Compensation department
    (WorkSafe). Visit the following to find out more.

    WorkCover Qld Website

  • 2024 INSURANCE PREMIUMS SECTION

    Costings per team - please enter number of teams participating in 2024
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  • Note: To qualify for the Stamp Duty Exempt Premium, you must provide a copy of your Stamp Duty Exemption Certificate each year. If you do not provide this certificate, the Stamp Duty Exempt premium, will not be accepted. To obtain certificate you must contact the Office of State Revenue.


    Details can be found at: Insurance Duty Exemptions

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  • 2024 OPTIONAL LOSS OF INCOME TOP UP SECTION

    This is for Senior teams only (U19's and above), should you wish to increase the current weekly loss of income benefit from $300 per week. Current excess is 28 days.
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  • PAYMENT OPTIONS SECTION

    Please select your payment option. Payment not required until you receive a Tax Invoice from Gallagher Sport.
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  • RUGBY LEAGUE PROPERTY PROGRAM

    If you are not already insured on our Rugby League property program, fill in the below to obtain a quick and easy quote. Those that are already insured with Gallagher, will be sent your current policy schedule next year to review. The program has an annual expiry date of 28 February. Please note that completing the below does not place cover.
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  • IMPORTANT INFORMATION SECTION

  • We put our trust in you - Important information
    Please click here for a copy of our Financial Service Guide, outlining the services Gallagher provide to you as well as your duty to disclose any information that may be relevant to an insurer's decision to cover you. We rely on you to ensure that the information we have is both accurate and complete. If your circumstances have changed, or change during your policy period, it is important that you contact us to ensure you are appropriately covered should you need to make a claim.

    Privacy Policy
    Read our Privacy Policy to learn more about how we also use, disclose and protect your personal information.

  • SUBMIT FORM SECTION

    Please click the below Submit button to send this form to Gallagher Sport. On receipt, once reviewed and processed, we will email your 2024 insurance program payment details.
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