Travel Insurance

Single Trip Travel from £9.99
Annual Multi Trip from £49.27
Reciprocal Health Cover
No Medical Screening required for trips to and from the UK/Channel Islands
Island back to Island Cover
Up to 85 year olds, single trip
Wintersports Cover included on all Annual Travel Policies

The Significant Covers	Policy Limits and Exclusions Applying to Significant Covers
Medical Expenses Up to £5,000,000	Provides cover for costs arising in the event of illness, injury or death during the trip and where necessary the provision of emergency medical assistance.
Cancellation and Curtailment Up to £10,000	Provides cover for travel and accommodation expenses which you have paid for or legally have to pay for and which you cannot get back if you cancel or cut short your trip.
Your Personal Belongings Up to £3,000	Provides cover for your own personal belongings if they are lost, stolen or damaged during your trip.
Your Personal Money Up to £1,000 (which includes a cash limit of £750)	Provides cover for cash or traveller's cheques lost stolen during your trip.

Documents
Key Facts
Policy Wording
Terms of Business

Extra Family Members
The Policyholder, their spouse or partner as long as they have lived together for 6 months or more (unless accepted by Us in writing) and up to a maximum 4 dependent children under the age of 18 years and living at Home (or up to 21 provided they are dependent and in full-time education). All persons must be permanently resident in the United Kingdom and have not spent more than six months abroad during the year immediately before the policy was bought or renewed.

Insurance Type

Type

Is this a renewal?

Applicant

Title

First Name*

Surname*

DOB* (DD/MM/YYYY)

Address Line 1*

Address Line 2

Address Line 3

Address Postcode*

Telephone Number*

Email*

Single Trip - Details of cover required

Departure Date*

Return Date*

Number of Days

Area 1

Europe

Area 2

Australia and New Zealand

Area 3

Worldwide excluding USA,
Canada & Caribbean (includes areas 1 & 2)

Area 4

Worldwide including USA,
Canada & Caribbean (includes areas 1 & 2)

Wintersports Option?

Insure family members?

Family details List of all other persons to be insured

Title	First Name	Surname	Date of Birth	Relationship

Add other person/s

Medical Agreement

Tick this checkbox if you have read and agree to
the Pre-existing Medical Condition Warranty.

Referral Code

Agreement

Tick this checkbox if you have read and agree to
our Key Facts, Policy Wording and Terms of Business.

Your account

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Cherry Godfrey Insurance Services Limited is licensed by The Guernsey Financial Services Commission. Cherry Godfrey Insurance Services (Jersey) Limited is regulated by The Jersey Financial Services Commission in the carrying on of investment and general insurance mediation business.

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