We require you to complete this form as part of our Duty Of Care

Travel insurance has been offered by my Travel Advisor at Home Travel Company but we’ve elected to, *

• Purchase an alternative policy (which you fully understand)
• Use my credit card policy (which I understand has limitations)
• Depart without travel insurance at my own risk (not recommended)

Waiver of Rights

• I understand travel insurance would protect me against incurred costs relating but not limited to –
• The cost of overseas medical treatment, hospital and related expenses – Cancellation imposed by transport and accommodation providers –
• Loss, damage, theft of my luggage and more.
• On this basis, I waive my right to pursue a claim of my Advisor’s  negligence.
• It is  understood  Home Travel Company  may charge me a minimum $50 pp to assist with any claim paperwork.

On behalf of all travellers:

Travel Advisor Name *

First Name *

Last Name *

Date *

Signature *

Clear Signature

Submit