The following forms are Fillable PDFs and can be completed electronically. An e-signature can be created in Adobe Acrobat Pro, or the forms can be printed, signed, scanned and emailed. Claims forms can be sent to firstname.lastname@example.org. Underwriting forms can be sent to email@example.com. If you prefer, contact
us via email or by phone and we would be happy to
fax you a copy of the form(s) you require.
Note: This application is for stand-alone War Risk
Only coverage. To be underwritten for 24-hour coverage
including War Risk, complete only the application specific
to the product i.e. Major Medical Application, Personal
Accident Application etc.
We can also cover you for the following classes, however one application does not fit all as each event or promotion can vary so much. If you’d like us to look at any of the following please contact our office: