The US government, through the Office of Foreign Assets Control (OFAC), regulates travel to the destination you have selected. To purchase this policy, you will need to mail Travel Guard a paper application for insurance, a Cuba Travel Compliance Certification (Travel Guard version) and, if you are traveling under a specific OFAC license, additional documentation. Please contact our sanctioned countries hotline at 866.375.2546 for forms and additional details.

Where are you going?

If your upcoming trip involves multiple destinations,

select the country where you will spend most of your time.

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Are you taking an airplane or a cruise? 

Select all that apply

Select Mode of Travel

When is your trip?

Go to previous month
Depart
Return

Where do you live?

All travelers must live in the state you select

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Traveler info

Traveler #1

Traveler #

Your initial payment date?

Initial Payment Date refers to the first day that any money was paid for any part of your travel arrangements. This includes any monies paid to a travel agent, tour operator, or arrangements purchased directly by the traveler.

Deposit Date

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Enter the State Codes (Ex:AL,KY) in the below text Box as Default Value , where user need to enter the Address Details for Extra Traveler Personal Info page in Bind Panel

Enter the Products that need to be displayed in the PCT in Default Value of below Component , Order also Matters in Default Value

Enter the Country names (Ex: Cuba, Iran) in the below text Box as Default Value , Make Sure Enter the same text which is displayed in DropDown

Quote Details
Insurance Premium
Assistance Services
Additional Fees
Total

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A bit more about you

DOB and TripCost

Beneficiary 

More about traveler

DOB and TripCost

Beneficiary

Did you work with a travel agent?

Your travel agent details

Policy Documentation Delivery

Please select at least one of the delivery options above.

Select Delivery Service

Free, 7-10 Business Days

$15, Next business days if purchased before 1pm CST

Select delivery Service

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Select delivery service

Free, 7-10 Business Days

$15, Next business day if purchased before 1 pm CST

What carrier do you plan to travel on?

If you're traveling with more than one airline or cruiseline, which one will you be using the most?

If unlisted, type your airline name

If unlisted, type your airline name

If unlisted, type your cruise name

If unlisted, type your cruise name

Enter valid Expiry Date

Your payment info

Please select a valid expiration date.

Security Code

Review and Confirm

Destination

US

Departing:

sun, 11/12/2018

Returning:

sun, 18/12/2018
First Name
(Male)
Address1
Address2
Address

Email

dfgfdgfd@gf.com

Phone

080 21245852355
First name Value

Beneficiary

Full Name

Gender

Quote Details

Platinum Plan

By checking the box below, I have read, understand and agree to the Policy of Insurance, Important Required Disclosures, Privacy Notice, Strike List, Alert List and Fraud Notice.

{{Policy of Insurance}}

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{{Pricing Details}}

For residents of New York: Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime, and shall also be subject to a civil penalty not to exceed five thousand dollars and the stated value of the claim for each such violation. 

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You're covered! Here is your policy summary:

Platinum Plan
$ 58.00

Policy Number

12345678

Product Ref Number

NW660 P1 6/2011

Effective

October 5,2018

Optional Coverages

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Total

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Insurance Premium

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Assistance Services

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Additional Fee

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Travel Dates

Trip Deposit

October 3,2018

Depart

November 11,2018

Return

November 26,2018

Travelers Covered

Primary

abc

Email

abc@gmail.com

Phone

123456789

Address

India
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You will receive an email with a link to your policy within the next 24 hours.

Travel Insurance ID Cards

Please cut out along the dotted lines and carry this identification card with you at all times while you  are on your trip

Travel Guard ®

Identification Card

The text will appear here

Product# NW6600 P1 6/2011

Address

Travelguard Assistance 24 Hour Emergency Network

USA - Toll Free: 1.800.826.4919.

International - Call - +1.715.345.0505

Travel Guard ®

Identification Card

The text will appear here

Product# NW6600 P1 6/2011

Address

Travelguard Assistance 24 Hour Emergency Network

USA - Toll Free: 1.800.826.4919.

International - Call - +1.715.345.0505

Travel Baggage ID Tags

Please cut along the dotted lines and affix to baggage:

Travel Guard ®

Baggage ID Card

ID# 123456

If lost, call Bag Track at:

USA Toll Free: 1.800.826.4919

International - call: +1.715.345.0505

Travel Guard ®

Baggage ID Card

ID# 123456

If lost, call Bag Track at:

USA Toll Free: 1.800.826.4919

International - call: +1.715.345.0505

Additional Policy Information

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