“All Canadians are strongly advised to arrange for medical insurance
(including the provision for emergency evacuation) prior to departure from Canada”

~ Department of Foreign Affairs, Canada

    Client Name:

    File:

    Email:

    I have been advised that the following travel insurance is available and understand that by signing below, I decline and waive the following insurance coverages for myself and everyone confirmed in my travel reservation:


    Note: all items must be checked off prior to submitting.