Insurance Form
Agency: Your Dream Travels
Phone number: 727-900-5988
Email: marilyn@YourDreamTravels.com
Did You Protect Your Travel Investment?
I understand travel insurance has been offered to me for purchase to cover certain risks inherent in travel such as trip interruption/cancelation and/or the inability to travel due to a medical or personal emergency. If I choose not to purchase travel insurance or if I purchase travel insurance on my own (not through Your Dream Travels), I understand that Your Dream Travels requires that I confirm or decline insurance in writing.
I acknowledge that Your Dream Travels has offered me travel insurance. I do not wish to purchase insurance protection for my vacation, and I am declining travel protection.
print full name | date | trip departure date |
signature | trip confirmation number |
Your dream travels (YDT) offers access to travel insurance to protect passengers and their investment in travel. Unless specifically noted, travel insurance is not included in the cost of the client’s itinerary to protect against third-party supplier default/bankruptcy protection, delay, interruption, missed connection for cruises, cancelation, medical emergency transportation/evacuation & repatriation, baggage & personal effects/lost luggage & baggage delay, illness, job loss protection and change of plans, accidental death and disability, travel accident/sickness medical expenses, and more. Proper insurance may protect you from financial loss. Without appropriate travel insurance, client understands and agrees that if client cancels or interrupts client’s travel for any reason, portions of the trip/tour may not be refunded and YDT and travel suppliers’ cancelation penalties will apply to result in the loss of monies up to the full cost of client’s travel booking and related costs. The purchase of travel insurance is not required to purchase any other product or service offered by YDT, however, if you decline to purchase insurance, YDT will require that you execute an insurance waiver. YDT is not a licensed insurance broker, and its advisors are not qualified or authorized to answer technical questions about benefits, exclusions, and conditions of any of the insurance offered, nor evaluate the adequacy of the prospective insured’s existing insurance coverage. An additional charge applies for any travel insurance selected. YDT cannot guarantee that any insurance provider will approve coverage for a claim made under the insurer’s policy and makes no representations about the extent of coverage for any policy it may offer or quote.