Public Liability Insurance Public Liability Insurance Please fill in your public liability insurance information using this form. Name* First Last Email* Enter Email Confirm Email Business Name* Mobile Number*Public Liability Insurance Provider* Policy Number* Policy Expiry* Copy of Public Liability Insurance Certificate*Accepted file types: pdf, png, doc, docx, jpeg, gif, jpg, Max. file size: 50 MB.Confirm* I hereby declare that all information provided is true My public liability insurance covers a minimum of $20,000,000.00 in accordance with the ACT Government legal requirements and the OBDM Stallholder Policy. CAPTCHA