Support Documents: Medical Forms and Claim Forms – Travelinsure

Travel Insurance Support Documents
Policy Documents, Application, Claim and Medical Assessment Forms

Please use the forms on this page to help complete your travel insurance applications and make any claim, if necessary. Unless otherwise stated all forms and documents are in Adobe Reader PDF format.

Support Forms for Cover-More Travel Insurance

Download Enrolment Forms for Travel Insurance

Download "Business" Travel Insurance Enrolment:
Travel Insurance enrolment form for the Business Traveller.

Download "Options" Travel Insurance Enrolment:
Travel Insurance enrolment form for the Options Policy.

Download "Essentials" Travel Insurance Enrolment:

Download "Travelsure" Travel Insurance Enrolment:

Download Credit Card Authorisation:
Form to be used only when faxing or mailing an authority to charge a credit card.

Download Policy Brochure for Travel Insurance

Download "Essentials" Travel Insurance Policy Brochure:
Standard travel insurance cover for international or Australian travellers.

Download "Business" Travel Insurance Policy Brochure:
Travel Insurance designed especially for the business traveller.

Download "Options" Travel Insurance Policy Brochure:
Premium travel insurance for the whole family and for that peace of mind.

Download "Corporate" Travel Insurance Policy Brochure:
Please Contact Us for a Quote.

Download "Travelsure" Travel Insurance Policy Brochure
Comprehensive cover but still great value for international and domestic travel.

You DO NOT need to dowload these files. If you purchase one of these policies a fully printed brochure will be sent to you by mail together with your Cover-More Certificate of Insurance and an Emergency Assistance Card.

Download Medical Assessment Form

Please complete the Covermore Medical Assessment Form for any conditions that require approval before cover can be offered. If you wish to obtain cover for a heart condition your physician needs to complete the Medical Assessment Form for heart conditions. All questions must be answered to enable assessment.

If you require help with the completion of this form, please consult your doctor for medical information or Travelinsure for other details.

If you are over 18 years of age, this form must be signed by you, if someone is signing on your behalf, we will require a copy of the legal authorisation that indicates that they may do this for you (eg Power of Attorney documents).

If your doctor completes any question on this form for you, they must sign the doctors declaration. You must still sign your medical authority and declaration.

Any costs associated with submission of this application are your responsibility.

Download Medical Assessment Form for Options and Business Policies:
Medical assessment form for those wishing to take out a CoverMore Options, Travelsure and Business Travel Insurance policy.

Download Medical Assessment Form for Essentials Policy:
Medical assessment form for those wishing to take out a CoverMore Essentials Travel Insurance policy

Once you have completed this form please return it to Travelinsure, Shop 5, The Strand Village Centre, Mt Eliza VIC 3930 or FAX it to us at (03) 9787 1145. Within a few days of receiving application a letter will be sent advising of Cover-More's decision or one of our nurses will telephone you.

You can also complete the Medical Assessment Information requirements on-line (usually with a quicker response) by clicking on the button below. Please provide our agency details on the on-line Assessment application when asked to do so. Our details are as follows :-

Agency Name :- Travelinsure
Agency Suburb :- Mt Eliza
Agency Phone :- 1300 654 956
Email Address :- info@travelinsure.com.au

This will enable us to assist you with completing the purchase once your medical condition has been assessed.

Online Medical Assessment

Download Claim Form