travel insurance application form pdf

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Travel Insurance Form

Travel Insurance Form is a form where clients indicate whether they would like travel insurance or not. This travel insurance form sample contains descriptions about the travel insurance. No coding to customize.

Insurance Forms

• Consent Forms
• Informed Consent Forms
• Insurance Agent Forms

Travel Insurance Form is a form where clients indicate whether they would like travel insurance or not. This travel insurance form sample contains descriptions about the travel insurance. Also, this travel insurance template contains name, email, phone number, address, signature, departure date. Whether you have an online travel agency or an airline, use this free Travel Insurance Form template on your website to gather client reviews. This form is compatible with Jotform's mobile app and lets you access feedback easily on the go!

Create a customizable Travel Insurance Form for your business! Need help with word choice? Quickly access commonly used words with Jotform's glossary of insurance terms. If you'd like to track customer feedback in your other accounts, we have 100+ integrations to choose from, including Google Drive. And with our free, secure form builder, you’ll be able to edit the appearance of your form — change background images, update logos, and add your brand’s colors.

Car Insurance Quotation Form

With this insurance quote request form template, you can give your customers proper quotes easily as this insurance quotation template states full details with the owner information to ensure that the quotation is accurate. You can gather information like type of the vehicles, number of drivers, type of cargos, the radius of operation along with liability information. Also, your customers can leave additional details if needed. Go ahead, try this insurance quotation form and start giving your customers quotes now!

Life Insurance Quote Form

Use this life insurance quote sheet template for your life insurance program and get a quote quickly from your clients. You can collect personal information for example name, address, number, email, birth date, life plan, height, weight, health issues by using this insurance quote form template. This life insurance quote form allows asking some questions such as "Total life insurance on you right now?", "Are you planning on canceling any existing life insurance?". In addition, your clients can add additional comments and questions by using this insurance quote form.

Insurance Quote Form

Here's an insurance quote template you can use to approve and provide an estimate of what your client's rate will be for an insurance. This insurance quote form will collect information regarding the applicant's details, contact info, existing insurance, payroll details and the services they're interested in. With this insurance quote sheet template, approving or denying an application will be a breeze.

Auto Insurance Registration Form

Are you looking for insurance for your auto? Vehicle insurance form used by insurance companies to submit information about the vehicles it insures. Car insurance form template allows for the users to register their vehicle with them.

Home Inventory Form

A Home Inventory Checklist is a must-have for every household because this checklist can be used for claiming insurance. This checklist will also help you determine all of your household items and their warranty status. This Home Inventory Form Template uses a Configurable List widget that allows you to dynamically add a set of fields in order to enter another item into the Home Inventory Checklist. The column headers are the item description, room location, item type, serial or model number, date of purchase, unit price, and the warranty status. The form also asks for the home owner's information and insurance details.

Liability Waiver Rental Agreement

A liability waiver form is a legal document in which an individual accepts the risks involved with participating in a specific activity and waives the right to sue. No matter what type of rental business you manage, use this free Liability Waiver Form to inform customers and gather their consenting signatures online. To get started, customize the form to meet your business needs, embed it in your website, or send it to customers and clients directly. They can enter their personal information, read and agree to the terms and conditions, and provide their electronic signature and email address. You’ll receive signed waivers in your secure Jotform account instantly, and you can even automatically convert them into PDFs that are easy to download and print for your records.Customizing your Liability Waiver doesn’t require any coding with our Form Builder. Just drag and drop more form fields onto the template, edit the terms and conditions to reflect your company policies and state laws, and upload your logo to give your liability waiver form a personal touch. If you’d like to store submissions in an account outside of Jotform, try our 100+ free apps and integrations — signed waivers will automatically appear in your favorite apps, such as G-suite, Dropbox, Box, Airtable, and more! When you’re done customizing, publish your custom Liability Waiver Form online to keep your rental business protected and your customers safe.

Get signed waivers online from customers renting equipment and more. Easy to customize for your business. Embed anywhere. Integrate with 100+ apps. No coding.

Personal Information Sheet

A personal information sheet for an insurance policy is a form used to collect private information about a person who applies for an insurance policy. No coding!

Home Insurance Quote

Your home is your castle — protect it with our free Home Insurance Quote Form.

Medical Insurance Verification Form Template

A Medical Insurance Verification Form Template is a form template designed to streamline the process of verifying coverage details and insurance eligibility for healthcare providers, hospitals, and medical clinics

Allow your customers to return a product, have it replace, or have it repair by using this RMA Form. This form template is easy to use and it has all necessary fields in order for the return to be successful.

Travel Insurance Waiver

A travel insurance waiver is a document used by travelers to waive the coverage of their travel insurance plan. Use our free Travel Insurance Waiver template!

Responsive Life Insurance Quote Form

This is a mobile responsive life-insurance quote form with 2 column layout. The templates is clean and good looking. If you're serving life-insurance program, this form serves your requirement.

Car Insurance Accident Information Form

A car insurance accident form is used by insurance companies to request information from customers who have been involved in an accident.

Homeowners Insurance Form Template

A home insurance form is used to collect information from homeowners to provide them with an accurate quote for insurance coverage.

Insurance Certificate Request Form

An Insurance Certificate Request Form is a form template designed to streamline the process of requesting insurance certificates.

Acord Cancellation Form

Need to cancel your insurance policy? Learn more about why and how to use an ACORD cancellation form to cancel your insurance.

Health Insurance Claim Form

Health insurance providers can use our Health Insurance Claim Form to process patient claims online. Stay HIPAA-friendly with our Gold plan!

Does your business or company provides licensing and insurance services? Use this insurance certificate request form if you are providing a certificate of insurance to a vendor, contractor, or other entity upon their request. They can easily request their insurance certificates online by filling out this insurance certificate request. This business insurance certificate template asks personal questions and an upload field for the supporting documents. Request for certificate of insurance template has never been easier!

Auto Insurance Quote Form

An auto insurance quote form is a questionnaire used by potential clients to get quotes for their car insurance. Fully customizable without any coding.

Life Insurance Questionnaire

A life insurance questionnaire is a document used to collect information about the applicant and to determine if they should be covered by an insurance company.

Insurance Quote Request Form

An insurance quote request form is used by customers to request a free insurance quote from an insurance company.

Policy Cancellation Form

Policy Cancellation Form can be used to cancel auto/vehicle, home/rent, or any other policies. Collect and manage cancellation requests easily. Just customize the form to fit your business.

Personal Injury Intake Form

A personal injury intake form is used by a law firm to take a client's information and gather facts regarding a potential case.

About Insurance Forms

Simplify receiving insurance quotes and information with an insurance form template. With a fully customizable insurance form template, streamline processes and cut out the paperwork by receiving the information you need. Insurance data will be safely and securely collected, and neatly stored in your Jotform dashboard. You can also integrate your data with your favorite business tools, so that your data will automatically populate tools that you use everyday. All you need to do is select a template (or create a form from scratch), customize it to your liking, and publish! Your insurance form will be collecting quotes in no time.

• 1-888-633-4722
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TRAVEL MEDICAL INSURANCE PLAN

Travel Insurance Guide

• Program & insurance benefits
• Copy of travel insurance policy
• Coverage options available
• Tips on how to save
• Unique discounts – NEW clients too
• Rate categories and premiums

Travel Emergency Medical Insurance Policy

• Definitions
• Eligibility requirements
• What you should do in an emergency
• General Limitations and Exclusions
• How to present a claim
• Refund policy

Canadian Travel Health Insurance Application

• Medical questions
• Determine eligibility and rate category
• Insurance contract declaration
• Payment options

Emergency Contact Guide

• When would I be contacted?
• When to contact Medipac
• Responsibilities as the Emergency Contact
• Policy and contact information

TRAVEL INSURANCE OPTIONS

MedipacMAX Travel Insurance Endorsement

• Increased Policy Benefit Maximum to $5 million USD – including COVID-19
• Protect your Discounts in the event of a claim
• $10,000 Accidental Death Insurance
• $5,000 Relocation Benefit
• $1,000 Pet Benefit
• $1,000 Excess Luggage Benefit
• $3,000 Return To Canada Benefit
• $2,000 Canadian Hospitalization Benefit
• $5,000 Inpatient Rehabilitation benefit

MedipacPLUS Travel Insurance Endorsement

• $500 Pet Benefit
• $500 Excess Luggage Benefit
• $2,500 Relocation Benefit
• $2,000 Return To Canada Benefit
• $1,000 Canadian Hospitalization Benefit
• $5,000 Accidental Death Insurance
• $2,500 Inpatient rehabilitation benefit
• Protect your Claim-Free Discount in the event of a claim
• Increased Policy Benefit Maximum to $5,000,000 USD

o NOTE: COVID-19 coverage limited to $2 million USD o For $5 million COVID-19 coverage you MUST upgrade to MedipacMAX.

TRAVEL INSURANCE CLAIM FORMS

To initiate the claims process, please contact Medipac Assist at 1-800-813-9374. One of our customer service representatives will assist you from the initial time of your claim process to the final settlement. During the claim process you will need to complete certain claim forms specific to your home province. You can download these forms or Medipac can mail you a Claim Kit.

• Click the form you want to download. It will either open in your web browser or Acrobat Reader.
• Go to the File menu and choose Save (or Save Page As).
• Choose a location to save the form.
• NOTE: If the form does not open in your web browser or Acrobat Reader, you need to install Acrobat Reader from the Adobe website.
• If you need help with any online claim form, call Medipac Claims at: 1-888-311-4761

If you require emergency assistance , call Medipac Assist at: 1-800-813-9374

TRAVEL INSURANCE CLAIMS

PROVINCIAL TRAVEL HEALTH INSURANCE CLAIM FORMS

All Formats

10+ Insurance Application Forms – PDF

In modern daily life, having active insurance is important for all aspects of life. Insurance Account Application Forms can give an easy way for customers to apply for an insurance account while online and physical Application Form templates provide a multitude of solutions for insurance businesses that need to maintain a credible archive.

Motor Vehicle Insurance Application

Application Form for Postal Life Insurance

Personal Automobile Insurance Application Form

What is Insurance Application Form?

The significance of insurance application form, application form for health insurance.

Insurance Application Form Example

Life Insurance Application Form

Health Insurance Application Form

Crop Insurance Application Form

Travel Insurance Application Form

Insurance Application Form in PDF

5 types of Insurance Application Forms

• Life Insurance. In this type of insurance, the company is called to conduct a payment to the client’s family in case of death or to the client in case of an accident. The application form contains information like the client’s health condition, the timeframe of the insurance as well as the terms in which the payment will be made.
• Social or Health Insurance. The application form needs to contain sections for the client’s personal information as well as his or her health condition. This will help the company to evaluate the terms of its service according to the individuals needs to provide insurance regarding the cases of disability, sickness, retirement or in the case of unemployment. It is often included in the Job Application Form .
• Property Insurance. A valuable possession in an individual’s life is property. The special characteristics of the property along with information like location, monetary value, and others are needed to complete the application form.
• Fire Insurance. This category falls under the property insurance, however, it is a separate type because of the nature of the risk. In the case of fire, the burned property is compensated and the client can build the property again, so it is necessary to include detailed information regarding the property’s characteristics.
• Auto Insurance. This type of insurance requires the complete description of the automobile as well as the driving experience of the client with reference to past accidents that can also be included in Employment Application Forms .

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• Travel insurance Compare Our Plans Popular Benefits COVID-19 Benefits International Plans Domestic Plans Comprehensive Insurance Annual Multi-Trip Inbound Plan Cruise Ski & Snowboard Motorcycle & Moped Adventure Activities Seniors Medical Conditions
• Emergency assistance
• Travel alerts Cover-More App
• Manage policy
• Not sure? See full destination list.

Is our travel insurance right for you? Read the Cover-More PDS 

We want to cover you, not ourselves. Take a tour of the Cover-More travel insurance Product Disclosure Statement (PDS) to find out if we have the cover you want for the trip you’ve got planned. 

Everyone loves curling up with a good Combined Financial Services Guide and Product Disclosure Statement (Combined FSG/PDS), right?  

OK, maybe not, but the information this document contains is super important – especially when it comes to knowing whether our travel insurance is the best choice for your amazing holiday.

We know we’ve got great cover, but is it right for you?  

Before you hit that big ol’ ‘buy’ button, you’ve got to read the relevant PDS from top to toe. (We’re being serious.) It’s got everything you need to know to help you make a good decision when it comes to buying a policy from us.  

If we’ve got the goods you’re looking for, you can either get a quote and buy a policy on this very website or call us on  1300 72 88 22  during business hours to get one over the phone. Easy. 

Already got yourself a Cover-More travel insurance policy? You can (re)read the relevant PDS whenever you fancy it.  

Our current plans (AKA the ones we’re selling right now) 

You can download the PDS for the plan you want to buy here.   

Comprehensive+ (issued on or after 7 August 2024)

→ View the Cover-More PDS

This is our ‘more is more’ plan. (Yes, it’s a bit like ordering the ice cream sundae with all the trimmings.) That’s because it’s our most comprehensive travel insurance plan with our best benefits and highest benefit limits, plus a bunch of cover options to help you match your policy to your trip.  

This plan is available for: 

• Single trip policies 
• Annual multi-trip policies 
• International trips 
• Domestic trips  

Good to know: This plan includes some COVID-19 benefits , because this virus is still lurking. 

Comprehensive (issued on or after 7 August 2024)

This is our most popular plan, and for good reason: it offers more cover and higher benefit limits than our Basic plan, which means you can worry less. It provides all the essential cover you need, plus much more (including some great cover options). 

Basic (issued on or after 7 August 2024)

This plan does what it says on the tin – it offers budget-friendly cover for the essentials. It’s our base-level travel insurance plan for value-conscious travellers, and has cover for the all-important basics. (Think: unexpected overseas medical costs and unforeseen additional expenses.)

Inbound (issued on or after 7 August 2024)

Do you live outside of Australia and want to travel Down Under with our cover in tow? This is our comprehensive international plan designed for non-Australian residents who are travelling to and around Australia from an overseas destination.

Business* (issued on or after 26 July 2023)

→ View the Business PDS

Travel a lot for work? Lucky you! This is our travel insurance plan for business travellers (and their families who like to tag along and turn it into a ‘bleisure’ trip).  

For more information or to buy this policy, please speak to our travel agent partners or call our team on  1300 72 88 22 . (You can’t buy it online.) 

Corporate* (issued on or after 23 August 2023)

→ View the Corporate PDS

This travel insurance plan is designed for organisations – big and small – that want to cover their employees’ business travel.  

For more information or to buy this policy, please speak to our travel agent partners or call our team on  1300 72 88 22 . (You can’t buy it online.) 

Got a policy that was issued before the ones above?  

Keep scrolling… we’ve got a bunch of older PDSs below for you to flick through. 

For policies issued between 26 July 2023 and (up to and including) 6 August 2024, use this: 

• Comprehensive+  
• Comprehensive  
• Basic  

For policies issued between 15 June 2022 and (up to and including) 22 August 2023, use this: 

• Corporate * 

For policies issued between 3 May 2023 and up to and including 25 July 2023, use this:

• Comprehensive+ 

For policies issued between   15 June 2022 and (up to and including) 25 July 2023, use this:

For policies issued between 20 april 2022 and (up to and including) 2 may 2023, use this:.

• Comprehensive+
• Comprehensive

For policies issued between   2 February 2022 and (up to and including) 24 August 2022, use this:

• Winter Sports

For policies issued between   2 February 2022 and (up to and including) 14 June 2022, use this:

Want to learn more about our cover pick a topic, then click.

• Overseas Medical and Dental
• Additional Expenses
• Amendments or Cancellation Costs
• Luggage and Travel Documents
• Delayed luggage allowance
• Rental Vehicle Insurance Excess
• Travel Delay
• Resumption of Journey
• Special Events
• Hospital Incidentals
• Loss of Income
• Accidental Death
• Personal Liability
• Medical and Dental Expenses in Australia (Inbound plan only)
• Cruise Cover

Did you buy one of our travel insurance policies before 20 April 2022 and want to get your hands on a copy of the Combined FSG/PDS? Our customer service team can help – call us on 1300 72 88 22. 

Ready to plan, pack, and go?! 

Choose the right travel insurance for you, today. 

*Our Business and Corporate products are currently available only through our agents or by calling our customer service centre on 1300 72 88 22.

Any advice is general advice only. Please consider your financial situation, needs, and objectives, and read the Combined FSG/PDS before deciding to buy this insurance. For information on the Target Market and Target Market Determinations, visit our Cover-More TMD page.

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