VLF Loss of Licence Health Questionnaire
Please read all information regarding VLF and complete all sections. Each section in this form is relevant to our consideration of your application for membership.
Membership of VIPA Loss of Licence Fund Limited ACN 163 594 269 (VLF) is available to ‘eligible members’, namely commercial pilots employed by the Virgin Australia Group, who are current, financial VIPA members, under the age of 65 years at the commencement of the Protection Year, and other commercial pilots approved as Associate members of VIPA. All pilots joining VLF are required to complete this health questionnaire.
Once you click Submit, your details will be forwarded to VFS to be assessed as part of your VLF application.
It is important for all applicants and members to truthfully, accurately and fully answer the questions in this questionnaire, as failure to do so may result in removal or expulsion from membership of VLF, or a decision by VLF not to offer protection, or not to pay a claim made by the member.
How we protect your privacy
We are committed to protecting your privacy. We use the information you provide to assist with handling membership applications and claims for protection. The information we collect on any application forms, including your personal details will be given to KJ Risk Group Pty Ltd (KJRG) and VLF so they can decide whether to accept your application for membership and protection. Personal information is also shared between KJRG and VLF, when you make a claim for protection. If you decide not to give us personal information we may not be able to process your membership application or your claim for protection. Your personal information may be used to offer other products and services. If you do not wish to receive those offers, you can unsubscribe by contacting VIPA Financial Services.
How can you contact us?
If you have any questions about this Health Questionnaire, we can be contacted at:
VIPA Financial Services Pty Ltd
ACN: 168 177 893
AR No. 455 638
Suite 203, 1 York Street
Sydney NSW 2000
Ph: 1800 116 460, option 5