AMBULANCE COVER FOR 
SINGLES AND FAMILIES

PEACE OF MIND FOR YOUR FAMILY

As a member of the ETU, you (and your family!) are already covered for free emergency transport throughout Australia – anywhere, anytime.

With over 800,000 calls responded to each year in Victoria alone, working people are protecting themselves with ambulance cover. We understand the importance of family and their health to members – that’s why we’ve ensured our ambulance covers looks after your loved ones as well!

This coverage can be used with a wide range of authorised emergency transport from a variety of providers for you, your spouse/partner and children.

Coverage is equivalent to an annual subscription from Ambulance Victoria. For further information, ring ETU Head Office.

* Terms & Conditions apply
TO FIND OUT IF YOU ARE ELIGIBLE OR FOR FURTHER INFORMATION CONTACT HEAD OFFICE 03 8329 0000 or email [email protected]

Make A Claim

FAMILY AMBULANCE COVER IMAGE 3

WHAT YOU’RE COVERED FOR

COMPREHENSIVE COVERAGE

The ETU Ambulance Benefit covers a wide range of authorised ambulance transport from a variety of providers for you, your spouse/partner and children. Including:

  • Emergency ambulance transport throughout Australia, including by air
  • MICA (Mobile Intensive Care Ambulance) attendance and/ or treatment
  • Newborn Emergency Transport Services (NETS)
  • Medically authorised non- emergency patient transport
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Family & Ambulance Form

Member Details

Your Name(Required)
Your Address

Emergency Transport User's Details

Marital Status
MM slash DD slash YYYY

Third Party Liability Details

Please ensure that all the below has been checked and answered before submitting your Emergency Transport Claim to the ETU.
Do you have Private Health Insurance that covers you and your Dependants for Ambulance Services?(Required)
If the person/s using the Emergency Transport is covered by a Victoria issued DSS Pensioner Concession, Health Care, Veterans Affairs, or specific Entitlement Card, the Ambulance Invoice should be referred to the organisation that has issued the card. If the Emergency Transport was required for a workplace incident/accident, the Ambulance Invoice should be referred to your Employer if you have lodged a Workcover claim. If the Emergency Transport was required for a registered motor vehicle accident, please refer the Ambulance Invoice to the Transport Accident Commission (TAC). If the Emergency Transport was required for a sporting accident, please refer the Ambulance Invoice to your club’s insurance provider.
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    Max. file size: 50 MB.
      Accepted file types: jpg, jpeg, gif, png, pdf, Max. file size: 50 MB. If your claim is for a dependant (full-time, fully dependant student up to 25 years of age) you must upload a copy of a Student Enrolment Document issued by a secondary or tertiary institution to verify their full-time student status.

      Declaration

      Declaration(Required)
      I/We declare that the information supplied on this form and in the attached documentation is correct and that I/We have not withheld any pertinent information that may affect this claim. I/We have read and understand the ETU’s Emergency Transport Benefits Scheme Rules. I/We release authority to the ETU to contact any of the above on my/our behalf for any payment or reimbursement of the Emergency transport claim.

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      WHAT'S NEW?

      terms and conditions

      1. You must be a financial member and who has also been a financial member for at least the preceding six months of the union at the time of claim. Interstate members must join the Victorian Branch in order to access the scheme.
      2. Spouse/partner is defined under legislation.
      3. The scheme covers member’s children (under the age of 17 years), and/or the children of their partner, including adopted or foster children, or a child where the member or their partner is responsible.
      4. The scheme covers member’s children who are full time students up until the age of 25. Members need to provide evidence of the students’ study status (such as a student ID card issued annually by the educational institution the child attends). Where a student is awaiting placement at an educational institution, coverage will continue up until 31 March of the year for which they applied for the placement.
      5. The scheme does not include the parents of adult members or any other family member not defined as ‘Immediate Family Member’ under the Rules.
      6. To find out if you’re eligible or for further information, contact Head Office on 03 8329 0000 or email [email protected]