TRAVEL INSURANCE REQUEST / WAIVER FORM

Travel Insurance Request/Waiver Form

Insurance Request and Waiver
Your peace of mind during your upcoming journey is of utmost importance to us. To ensure your trip remains enjoyable and worry-free, we highly recommend considering trip cancellation and travel accident insurance.

Unexpected emergencies can arise when least expected, and the penalties imposed by cruise lines, airlines, hotels, and tour operators for cancellations can be substantial, ranging from full deposits to no refunds at all. It's crucial to note that in the absence of travel insurance, you may find yourself without coverage in a medical emergency abroad, as domestic health policies typically do not apply outside the United States. Overseas hospitals often require upfront payment, and having travel insurance means a simple call to the 24-hour assistance hotline.

Additionally, with the prevalence of lost bags, delayed and canceled flights, travel insurance becomes a valuable source of peace of mind. However, it's important to be aware that most policies may not cover epidemics and pandemics, especially during travel warnings. Our description of insurance does not constitute a binding assurance, and by opting not to purchase travel insurance or in the event of any claim denial by the insurer, particularly related to COVID-19 or other policy claims, you agree to hold us harmless.

Your safety and well-being are our top priorities, and we appreciate your understanding of the importance of travel insurance in ensuring a smooth and secure travel experience.
INCLUDE TRAVEL INSURANCE COVERAGE?

Would you be interested in adding travel insurance coverage to your plan?
PLEASE LET US KNOW IF YOU WOULD LIKE TO REQUEST TRAVEL INSURANCE COVERAGE OR DECLINE COVERAGE.*

I confirm my acceptance of the travel purchases and would like to inquire about obtaining a quote for travel insurance coverage.I confirm that I am declining travel insurance and accept and authorize the travel purchases. By signing below, I affirm that I have carefully reviewed and comprehend all cancellation charges and change fees associated with the travel arrangements. I acknowledge that in the event of alterations to my travel plans, a full refund may not be guaranteed. Should there be a cancellation of nonrefundable airline tickets or other arrangements, I commit to adhering to all applicable penalties as stipulated by the travel suppliers' regulations.
Please share details on your travel plans to receive a personalized travel insurance quote.
Trip Name / Destination*
Departure Date*

MonthDayYear
Return Date*

MonthDayYear
Please list the name, birthdate, and state of residence for each traveler covered by this insurance policy:*
I acknowledge that I have been informed about the benefits of Travel Protection Insurance. In the event of my decision to decline this protection, I am fully aware that I will bear all financial responsibilities for any incurred expenses due to an inability to travel or travel disruptions, as well as any associated medical expenses. Furthermore, I understand that to obtain maximum coverage and include pre-existing conditions, Travel Insurance must be purchased immediately, before final payment, and it must cover the full cost of all non-refundable trip arrangements.
Full Name*

First NameLast Name
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Date:*

MonthDayYear
Signature*

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Travel Insurance Request/Waiver Form

INCLUDE TRAVEL INSURANCE COVERAGE?