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Fill out the form below to apply for the indemnity insurance nurses can afford.

Please note: All prices are shown in Australian Dollars.

INSURED PERIOD for prices below is from Date of Application to 15/11/2025.

"*" indicates required fields

Contact Information

Name*

Prefix First Last

Email Address*

Home Phone

Business Phone

Mobile Phone*

Your Address

Address*

Street Address Address Line 2 City State Postcode Country

Your Details

Date of Birth*

Day

Month

Year

AHPRA Registration Number*

Qualifications*

Employer*

Choose Your Coverage

Choose Your Coverage*

Div 1 Registered Nurses – $231.36 (includes GST $19.75)

Enrolled Nurses Medicine Certified – $214.57 (includes GST $18.35)

Enrolled Nurses Non Med Cert – $204.38 (includes GST $17.50)

Personal Care Attendants – $204.38 (includes GST $17.50)

Nurse Practitioners/ or Students – $302.10 (includes GST $25.62)

Self Employed Registered Nurse Div 1 $302.10 (includes GST $25.62)

Qualified Phlebotomists – $214.57 (includes GST $18.35)

Reconstructive Cosmetic Nurses – $333.27 (includes GST $28.25)

Paramedic – $309.89 (includes GST $26.30)

Employed Midwives (including Prenatal and Birthing Suite, employed in Public or Private Hospitals only) – $522.71 (includes GST $44.05)

Nuclear Med Technicians – $341.07 (includes GST $28.90)

Radiographers – $333.27 (includes GST $28.25)

Volunteer Registered Nurse – $191.19 (includes GST $16.40)

Occupational Therapists – $191.19 (includes GST $16.40)

Cardiac Technician – $341.07 (includes GST $28.90)

Enrolled Nurse Medication Certified Self-Employed – $302.10 (includes GST $25.62)

Perioperative Nurse Surgical Assistants – $231.36 (includes GST $19.75)

Coverage Cost

$ 0.00

Includes GST

Click here to see our rates table, with breakdown of fees and taxes

History

Are there any claims alleging a negligent act, error or mission or malpractice currently lodged against you?*

Yes

No

Are you aware of any circumstance which has already occurred which may give rise to a negligent act, error or omission or a malpractice claim being lodged against you?*

Yes

No

Have you been involved in any action which could have or did give rise to a legal dispute arising out of your employment?*

Yes

No

Have you ever been involved in professional discipline procedures?*

Yes

No

Have you ever been refused any insurance, or had a requirement for hasher terms and conditions imposed upon your application for insurance?*

Yes

No

History Details

Please provide details*

Please tell us why you said YES to any of the history questions. We will contact you for more information if required.

Payment Information

Payment Method

Credit Card (bank credit card charge to apply 0.87%)

Direct Deposit

Account Name GAMMAN INSURANCE BROKERS
BSB 083004
Account no. 901683638

Credit Card Surcharge

Price: $ 0.00

Total

Credit Card

MasterCard

Visa

Supported Credit Cards: MasterCard, Visa

Card Number

Expiration Date Month Year

Security Code Cardholder Name

Comments

This field is for validation purposes and should be left unchanged.

Insurance Coverage

$20 million Professional Indemnity ($60 million in the aggregate, excess $250)
$20 million Public Liability (excess $500)
$500,000 Legal Expenses (excess $250)
Unlimited Retroactive Date
Runoff Cover for Former Members
Quarterly reductions in annual cost (from 15/02, 15/05 & 15/08 to 15/11)
Friendly & expert staff
Master Policy insured period is from 15/11/2024 to 15/11/2025

Learn more

Insurance Schedule
Brochure on Professional Indemnity & Public Liability
Financial Services Guide (FSG)
Policy Changes Document

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