Voucher and Refund Form

Please fill out the form below. All fields are required. Due to unprecedented volume, please allow fifteen business days for confirmation.

Please select Refund if your policy was purchased within the last 15 days.

Please select Vouchers if your policy was purchased over 15 days ago.

You may be eligible for a refund of your premium under the following conditions:

You are requesting a refund from Travel Guard within 15 days of purchasing your policy,
Your request for a premium refund is made prior to the departure date listed on your policy, and
You have not filed a claim.

If you are not eligible for a refund of your premium, you may be eligible instead for a travel insurance premium voucher for the full value of the policy purchased under the following conditions:

You request a voucher prior to your trip departure date,
You confirm that you have not incurred any travel supplier fees, penalties, or unused, non-refundable, pre-paid trip costs, and
You have not filed a claim.

Requestor *
Are you applying for a voucher or refund? *
Policy Number *
Trip Departure Date *
First Name:*
Last Name:*
Email:*
Reason for Cancellation:*
Agent Name:*
I confirm that (1) I am an agent acting at the request of the insured under the travel insurance plan, (2) the insured has requested that this travel insurance plan be cancelled, and (3) I have provided and discussed the information in this Voucher and Refund Form with the insured.
For verification, Kindly enter the text as shown below*
Submit
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Requestor *

Are you applying for a voucher or refund? *

Policy Number *

Trip Departure Date *

First Name:*

Last Name:*

Email:*

Reason for Cancellation:*

Agent Name:*

I confirm that (1) I am an agent acting at the request of the insured under the travel insurance plan, (2) the insured has requested that this travel insurance plan be cancelled, and (3) I have provided and discussed the information in this Voucher and Refund Form with the insured

For verification, Kindly enter the text as shown below*

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