Insurance Waiver Form

Every Family or Party member over 18 years of age must be listed.

Trip Delay - Pays for certain extra transportation and accommodation expenses if your trip is delayed for 6 hours or more.

Emergency Accident and Sickness Medical Expense - Covers you for Medical expenses incurred during your trip as a result of an accidental Injury which occurs or Sickness which first manifests itself during the Trip.

Baggage Loss - Reimburses you if your baggage is lost, stolen, or damaged while on your trip. This coverage is secondary to any coverage provided by a common carrier.

Baggage Delay - Reimburse you for the purchase of essential items if your baggage is delayed. Amount of time for the delay is based on plan purchased.

24-Hour Emergency Hotline Services - Provided by Travel Insured’s designated Assistance Provider

Travel Assistance - A source for all of your travel-related questions, from translation services to passport and visa information - even lost baggage and retrieval.

Lost Ticket & Passport Assistance - Assists in replacing lost or stolen passports and tickets.

Optional Flight Accident Plan - MUST BE PURCHASED BY ALL MEMBERS ON APPLICATION Covers you for injuries sustained while riding as a passenger in or on, boarding or alighting from an aircraft, or being struck or run down by an aircraft. Conditions, limitations and exclusions apply.

Please read this carefully!

I understand that Blue Ribbon Travel is not the source or supplier of the travel services I have requested, and acts solely as an agent for the actual suppliers of such services. I have been advised that the suppliers whose names appear in the information supplied to me are those who are actually responsible for providing the travel services I have purchased. I consent to and request the use of those suppliers and agree not to hold Blue Ribbon Travel responsible should any of these suppliers:

1) Fail to provide the travel services I have purchased.

2) Fail to comply with any applicable law.

3) Engage in any negligent act or omission that causes me any sort of injury, damage, delay or inconvenience.

I will review my travel documents for accuracy upon receipt and understand that I may contact Blue Ribbon Travel if I have any questions. I understand that discounted fares typically involve restrictions and that changing any aspect of my travel arrangements may result in the payment of additional money.

I have been advised to use a credit card as this may offer me the opportunity to dispute the charge should a vendor cease operating.

I understand that if traveling internationally, I must have a valid passport and depending upon my destination and nationality, I may need to obtain one or more visas.