Insurance – LCS Golf Trips

Travel Insurance

Insurance Form

Title

First Name

Last Name

Phone

Address

Address Line 1

Address Line 2

City

County

Postal Code

Date of Birth

Is everyone you wish to insure a permanent United Kingdom resident and have they been registered with a UK medical practitioner for at least the last 6 months?

Yes

Is anyone you wish to insure on this policy aware of any circumstances, including the health of relatives or other third party, which may cause them to cancel, cut short their trip, or make a claim?

Yes

Is anyone you wish to insure on this policy awaiting a diagnosis, surgery, treatment, tests or investigations (or their results) for any medical condition, or suffering symptoms that have not yet been discussed with a doctor?

Yes

Within the last 2 years has anyone you wish to insure on this policy suffered any medical condition, (medical or psychological disease, sickness, condition, illness or injury) that has required prescribed medication (including repeat prescriptions) or treatment including surgery, tests or investigations?

Yes