War Cover Questionnaire

Please fill in the information below. Alternatively, if you would like to print off and post to us, please download the form here.

    Completed questionnaires are in consideration of the removal of the war exclusion to Sections A – Medical Emergency and Section C – Personal Accident only – No cover is provided under this insurance for any political evacuation.

    Dates of travel

    Title First Name Surname Date of Birth Certificate Number