Travel Insurance Refusal

TRAVEL INSURANCE REFUSAL

We require you to complete this form as part of our Duty Of Care

I/we have been offered travel insurance by my Travel Agent but have elected to, *

Waiver of Rights

I 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 claim

Signature

Name *

First

Last

Date

We also recommend you read the smartravller insurance advice here