2022 Insurance - District Youth Protection cover

What is your District ? *

Name of the person completing this questionnaire *

What is the role of the person completing the questionnaire ? *


Status of the NZ/Oceania RI Youth Protection Policy *

If other, please specify:

Background checks *

If other, please specify:

Your use of the RI 775 forms (as amended for NZ) *

If other, please specify:

Are you aware of any claims made involving youth activities? *

If YES please provide details.

After enquiry, are you aware of any circumstance that might give rise to a claim? *

If yes, please specify: