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Travelteer – Travel Insurance Application

We have partnered with Banner Financial Services* to provide a travel insurance policy that covers participants for all authorised projects and activities undertaken with Travelteer in accordance with the terms and conditions of the policy.

Travel Insurance Application

I can confirm:


Unfortunately we are unable to provide a quote at this time – please contact us on 0345 450 8549 where we may be able to help you with alternative quote.



Unfortunately we are unable to provide a quote at this time – please contact us on 0345 450 8549 where we may be able to help you with alternative quote.



Unfortunately we are unable to provide a quote at this time – please contact us on 0345 450 8549 where we may be able to help you with alternative quote.



Unfortunately we are unable to provide a quote at this time – please contact us on 0345 450 8549 where we may be able to help you with alternative quote.



Unfortunately we are unable to provide a quote at this time – please contact us on 0345 450 8549 where we may be able to help you with alternative quote.


Afghanistan, Belarus, Chechnya, Central Africa Republic, Cuba, Democratic Republic of Congo, Egypt, Iran, Iraq, Israel/Palestine, Libya, Mali, Nigeria, North Korea, Russia, Somalia, South Sudan, Sudan, Syria, Turkey, Ukraine (including Kherson, Zaporizhia Oblasts & Mykolayiv), Venezuela or Yemen.

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Travel Dates


Dates of Travel


For periods of travel lasting more than 180 days – please contact us on 0345 450 8549 where we may be able to help you with alternative quote.



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Medical Declaration

At the time of taking out this insurance you are advised to disclose all details of any pre-existing medical conditions. For the purpose of this insurance, a pre-existing condition is deemed to be any ongoing medical condition or set of symptoms, which have been experienced and for which treatment or medical advice has been sought prior to incepting this insurance. If there are any changes to your health after this policy has been issued and before travel, you must notify us immediately.

Q1) Medical Declaration

Have you:

• Been diagnosed with a terminal condition?

• Had any cardiovascular problems, or any other heart condition, hypertension or any cerebrovascular problems that have occurred at any time before commencement of this trip?

• Any other medical condition that is ongoing or from which you have suffered symptoms that have required inpatient treatment (hospital admission)?

Have you:

• Been diagnosed with a terminal condition?

• Had any cardiovascular problems, or any other heart condition, hypertension or any cerebrovascular problems that have occurred at any time before commencement of this trip?

• Any other medical condition that is ongoing or from which you have suffered symptoms that have required inpatient treatment (hospital admission)?


Unfortunately we are unable to provide a quote at this time – please contact us on 0345 450 8549 where we may be able to help you with alternative quote.


Q2) Medical Declaration

Are you:

• Travelling against medical advice?

• Travelling with the purpose of seeking medical treatment?

Are you:

• Travelling against medical advice?

• Travelling with the purpose of seeking medical treatment?


Unfortunately we are unable to provide a quote at this time – please contact us on 0345 450 8549 where we may be able to help you with alternative quote.


Q3) Medical Declaration

During the 2 years prior to the commencement of cover under this policy have you:

• Been referred for any treatment surgery, investigations or follow-ups at any hospital, surgery?

• Required inpatient treatment (hospital admission) for any of the following conditions – Asthma, Bronchitis, any other lung or respiratory condition, cancer, any growth or form of malignancy, diabetes mellitus, epilepsy or fits, any kidney or bladder disorder, any mental or physiological condition?

During the 2 years prior to the commencement of cover under this policy have you:

• Been referred for any treatment surgery, investigations or follow-ups at any hospital, surgery?

• Required inpatient treatment (hospital admission) for any of the following conditions – Asthma, Bronchitis, any other lung or respiratory condition, cancer, any growth or form of malignancy, diabetes mellitus, epilepsy or fits, any kidney or bladder disorder, any mental or physiological condition?


Unfortunately we are unable to provide a quote at this time – please contact us on 0345 450 8549 where we may be able to help you with alternative quote.



Your Schedule

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Your Details

Please note – we will email your policy documentation to the email address you provide us with.

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Your Premium

The total price is :


Declaration

I declare that the above answers to my knowledge and belief are true and complete in every respect and that no material fact has been suppressed or withheld. I understand that any change in information must be notified immediately and no cover exists until such change has been approved by the insurers.

Please note: Cover does not start until the application has been received and accepted by Banner Financial Services.


In the event you subsequently wish to amend or cancel the insurance a fee of £10 for an amendment or £20 for a cancellation may apply.
We will contact you by email to confirm we have received and accepted your application.


Confirmation


Summary

Description Information Quantity Price
Discount :
Total :
To make your payment in the pop up box, you will need the long 16 digit card number, the expiry date on the front of your debit /credit card and the 3 digit security (CVV) number on the back of your card.

Summary

Description Information Quantity Price
Discount :
Total :

Have a Question?

Take a look at our FAQs

If you need help with your travel insurance quote then please call us on

0345 450 8549

between 8.30am and 5.30pm Mon – Fri

or email us using this contact form

*Banner Financial Services is a trading name of Harrison Beaumont Insurance Services Ltd who are authorised and regulated by the Financial Conduct Authority, registration number 303968. Registered address is Pond Hall, Pond Hall Road, Hadleigh, Suffolk, IP7 5PP. Registered in England and Wales, Registration number 4582221. Travelteer Limited is an Introducer Appointed Representative under Harrison Beaumont Insurance Services Limited.