Travel insurance: worldwide travel insurance contact form

oap, students, over 65, 70, 80

Please use the form below to obtain a worldwide travel insurance quotation. - or telephone 0844 8262617

If you haven't tried our worldwide travel insurance quote for single trip, annual multi trip, long stay, gap year and for elderly senior citizens over 65, 70 or 80 then UK residents should try here first

Can you agree with the medical declaration found Here?
Your name
E-mail address
Address line 1
Address line 2
City
State/County
Post code
Age
Telephone No.
Policy Type
Travel Details - single	Departure Date : Return home winter sports?
Travel Details - annual	Max days / trip total days winter sports Winter sports
You	Age : Medical Conditions Activities
Partner	Age : Medical Conditions Activities
Child	Age : Medical Conditions Activities:
Child	Age : Medical Conditions Activities:
Child	Age : Medical Conditions Activities:
Child	Age : Medical Conditions Activities:
Countries Visiting
Excess	What is the preferred policy excess?
Cancellation cover	What cancellation cover do you need? (per person)
Medical expenses	What medical expenses cover is needed?
We offer a fair market analysis and will provide you with a quote matching your selected options if possible or explain why we cannot do so.
Even if you have read and accepted the declaration, you must still provide us with full details of medical conditions and names/ dosages of all medicines taken and other treatment undertaken.
Details of all material facts about your holiday including info on medical conditions, hazardous activities, whether any work involved and if so what type. Also medical conditions of close relatives.	None
Any other demands and needs?	I have no specific demands or needs
Declaration I have completed the form to the best of my knowledge and belief. I have made a full disclosure of all material facts. I have read and understood the Important information below. I understand that there is no cover in force until confirmed by B. Portwood & Co Ltd, a satisfactory proposal form completed and accepted and payment of the premium made - either in full or an instalment plan set up acceptable to B. Portwood & Co Ltd.

Note: Hit submit button once only

Links to lists of our other main policies

B Portwood & Company Insurance Home Page - an overview of the site and types of policy on offer.
Travel insurance and holiday insurance - annual family holiday, multi trip, student GAP year insurance, winter sports, ski-ing

You may find it better if you contact us on 0844 8262617 or, if you get no reply, our Gateshead office on 0844 8262618. We find it is often better and easier to discuss on the phone your needs for worldwide travel insurance