Travel Agency Insurance Form
Travel Agency Insurance Form
Full Name
Phone number
Passport Number (if applicable)
Trip Details
Destination(s)
Departure Date
Return Date
Purpose of Trip
Number of Travelers
Insurance Coverage Options
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Coverage Type |
Policy Limit |
Deductible |
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Insurance Terms & Conditions
The insurance policy excludes coverage for pre-existing conditions, high-risk activities, and any claims arising from intentional acts. Travelers must adhere to the claim procedures outlined in the policy documentation to ensure proper processing of any claims.
Declarations & Acknowledgements
I hereby consent to the terms and conditions outlined in this insurance policy and declare that all information provided is accurate to the best of my knowledge. I acknowledge that failure to disclose pre-existing conditions may result in denied claims.
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