InsureMyTrip - Policy Cancellation Request Form

Cancellation Form

This form helps us gather the information needed to process for your policy refund request. Please provide as much of the requested information as possible in order to avoid delays in processing, and/or additional follow-up communications from our team.

If you have any questions about the form or are unable to complete it as requested, please use our chat function (icon at lower right of our Contact Us page) for the most immediate assistance. We will be happy to assist you.

1. Policy Number *This question is required.

Your Policy Number is located in your confirmation email, which was sent at the time of purchase. On this email, find the field labeled Policy Number in the Order Information section.

2. Primary Traveler's Name
The Primary Traveler is the first person listed on your policy under Insured(s) *This question is required.

3. Primary Traveler's Phone Number *This question is required.

4. Email Used to Purchase the Plan *This question is required. This question requires a valid email address.

5. Reason for Cancellation:

6. Are you still in the Review Period provided with your plan?
Note: not all plans include a review period. See example below. *This question is required.

Your review period can be located by reviewing your confirmation email sent at the time of purchase and finding the field labeled "Refund Policy" within the Coverage Information section of the schedule. The review period typically begins the day you purchase the plan.

Documentation Requested

Since your request is outside of the review period, generally your plan is non-refundable. However, you can provide additional documentation as outlined below and your request will be sent to the provider for consideration. Please be advised that any requests outside of the review period are not guaranteed and are reviewed on a case by case basis.

Proof of Cancelled Trip:
Generally this can be a final invoice or other contact from your travel supplier that includes your name, trip information, and an indication that the trip was cancelled. This may be required from multiple suppliers depending on the details of your trip.

You can attach up to 10 files. Each file must be under 2MB. If you have files that are larger than these requirements, you can send them to customercare@insuremytrip.com.

File: {{filename}} delete

Proof of Refund:
Since your request is outside the "Review Period", we must have documented proof from your travel suppliers (cruise, tour operator, travel agent) that you were provided a refund for your trip.

Generally this is a copy of a credit card statement or similar financial document that outlines the refund you received. The name and the dates of refund should be visible, but other information can be redacted.

You can attach up to 10 files. Each file must be under 2MB. If you have files that are larger than these requirements, you can send them to customercare@insuremytrip.com.

File: {{filename}} delete

7. Confirmation of No Claims
By adding your digital signature below, you are acknowledging that you have not submitted a claim under this policy and do not plan to file a claim against the currently insured trip in the future.

Clear

Signature of