Travel Insurance RefusalTRAVEL INSURANCE REFUSALWe require you to complete this form as part of our Duty Of CarePlease enable JavaScript in your browser to complete this form.I/we have been offered travel insurance by my Travel Agent but have elected to, *Purchase an alternative policyUse my credit card policy (which I understand has limitations)Depart without travel insurance at my own risk (not recommended)Waiver of RightsI understand travel insurance would protect me against incurred costs relating but not limited to - The cost of overseas medical treatment, hospital and related expenses - Cancellation imposed by transport and accommodation providers - Loss, damage, theft of my luggage. On this basis, I waive my right to pursue a claim on the agents negligence. I understand East Ivanhoe Travel may charge me a minimum fee of $250 to assist in any claimName *FirstLastDateSubmit We also recommend you read the smartravller insurance advice here