Travel Insurance Waiver Form
  • Travel Insurance Waiver Form

  • Today's Date
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  • I have been offered travel insurance for a trip starting the date listed above. Although I understand the benefits of obtaining trip insurance, I DO NOT wish to purchase travel protection. I waive all protection and any assistance from the Travel Insurer for cancellation, medical coverages, travel interruption, baggage loss, and other valuable protections. I also understand that it is not advisable to travel during a pandemic or any travel advisory warning without travel insurance. I also understand that doing so is entirely at my own risk.

  • Disclaimer: If you, the traveler, decide not to purchase trip protection at this time, she/he may be able to purchase it until the final payment date is due, but any pre-existing medical conditions may not be covered under the insurance policy I choose.

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