Request a Policy Extension

Your Name*

Your Policy Number*

Email*

Phone

Have you made, or do you believe you may have to make a claim under your existing travel insurance policy?*

Yes
No

Have you sought or undertaken any form of medical advice or treatment since the policy was purchased?*

Yes
No

Have there been any changes to the material facts on which your original application was based, such as: Areas of travel? Sports or pastimes / nature of any work undertaken / pre-existing medical conditions?*

Yes
No

Have you returned to Australia during your current policy period?*

Yes
No

If you have answered 'Yes' to any of the above, please provide further information

Are you currently fit and in good health?*

Yes
No

If you are travelling on a return basis, have you got a return ticket booked? If you are travelling on a one-way basis, do you have a pre-booked ticket for travel to your final destination?*

Yes
No

What date to you need to extend your policy to?*

The end date of the policy must coincide with your return to Australia

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Request a Policy Extension

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