CVC Protect Form

  • CVC Protect Form

    We take the privacy and confidentiality of your information seriously. All information provided to us will be handled with the utmost care, confidentiality, and professionalism.

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  • Format: 0400 000 000.
  • Have you purchased a subscription to CVC Protect?*

  • Details and Information

  • Do you have any outstanding monies and/or disciplinary sanctions against you?*
  • Have you submitted an insurance claim through the insurance provider that CVC sources through Volleyball Queensland, Honan.Sport and Volleyball Australia?*

  • If no, please do not submit this form and make an insurance claim here.

  • Has your insurance claim been rejected?*

  • You are ineligible for CVC Protect if your insurance claim has not been rejected.

  • Are you currently suffering from an injury or illness as a direct result of your participation or involvement with CVC in any volleyball-related activity?*

  • Any injury or illness sustained during any non-volleyball-related activity is not covered.

  • Are you currently experiencing financial hardship or have no ability to cover the medical costs in full?*
  • Do you receive any Centrelink benefits or financial assistance from any other means?*
  • Are you currently employed?*
  • What is your total household income?*
  • Have you sought other means of financial assistance to cover your medical expenses?*
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  • Any misrepresentation or falsification of information may result in your application being rejected and other disciplinary actions as deemed appropriate by CVC.

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