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Quotation Details

Personal Load Existing Quotation

Personal Personal Information

Gender:
Vehicle Journey Details
Vehicle Summary of Cover & Limits
Section Standard Cover Extra Cover Excess
1. Personal Accident € 15,000.00 € 30,000.00 € 35.00
2. Medical and Emergency Travel Expenses € 250,000.00 € 600,000.00 € 35.00
3. Cancellation and curtailment € 2,500.00 € 5,000.00 € 35.00
4. Personal Baggage € 2,000.00 € 3,000.00 Luggage €15
Items in luggage €35
5. Personal Money and Passport indemnity € 600.00 € 1,250.00 € 35.00
6. Personal Liability € 1,250,000.00 € 1,250,000.00 € 35.00
7. Travel Delay € 150.00 € 250.00 € 35.00
8. Missed Departure € 300.00 € 750.00 € 35.00
9. Excess for Vehicle Rented € 300.00 € 450.00 € 35.00
Vehicle Insured Persons
Name & Surname ID/Passport Date of Birth Cover Type Winter Sports
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Excess Damage Waiver:
Claim History General Questions
Ever had any claims in relation to travel insurance?
Had special terms imposed, refusal or termination of an insurance policy?
Been convicted of any offence or dishonesty of any kind?
Do you or any insured person/s suffer from any heart condition, breathing problem, cancer or any other disease?
Do you have any other travel insurance in force?
Terms and Conditions
  • This quotation is valid for one month from the date of issue.
  • Please refer to the latest Travel Insurance Policy Document (Ref : EILTRPW 007/06.18 )
  • for the new Data Protection Notice and the full terms/conditions of this policy.
  • This may be downloaded from https://elmoinsurance.com/sites/default/files/TravelPolicyDoc.pdf or you may request a copy.
  • Elmo Insurance reserves the rights to withdraw this quotation if any details which you have provided are not accurate or new information is made available to Elmo Insurance which increases the Risk.

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ITEM
VALUE
PREMIUM
STAMP DUTY
POLICY FEE
€ 5.00
TOTAL

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