Travel Insurance Waiver

Travel Insurance Waiver
I acknowledge that I have been offered comprehensive travel insurance by TravelManagers Australia Pty Limited which subject to the product disclosure statement and policy limits may provide cover for the following:

-If I become sick or have an accident before travel or during travel
-If my luggage is delayed, stolen, or damaged
-Cancellation or travel costs as a result of a relative at home becoming sick or dies.
-If my travel documents, credit cards or money are lost or stolen
-If my transport is delayed.

I acknowledge that DFAT strongly recommends the purchase of comprehensive travel insurance prior to travelling.
Passenger Name(s)*
Booking Number (if known)
Passenger Email*
example@example.com
Passenger Acknowledgement
Having made my own enquiries I have decided to:*

Purchase alternative travel insuranceDecline purchase of travel Insurance

Purchasing alternative travel insurance

(not through TravelManagers Pty Ltd)
Name of insurance provider*
Certificate of Insurance*

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Please upload copy of Certificate of Insurance Cancelof
Acknowledgement

I acknowledge that TravelManagers Australia Pty Limited are not responsible, nor will I hold them liable, for any loss or damage I may suffer as a consequence of not purchasing travel insurance offered by them. By submitting this form I am confirming that I have understood and acknowledged all of the information provided is true and correct.
Signature*

Clear
Date

DayMonthYear
Date

Decline purchase of travel insurance
Acknowledgement

By signing this waiver I agree to release TravelManagers Australia Pty Ltd and their authorised representatives from any and all liability whatsoever arising from my failure to purchase travel insurance. By submitting this form I am confirming that I have understood and acknowledged all of the information provided is true and correct.
Signature*

Clear
Date

DayMonthYear
Date

Purchasing alternative travel insurance