DELAY, MISSED DEPARTURE ABANDONMENT, PISTE CLOSURE, MISSED PORT

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D TRAVEL DELAY, MISSED DEPARTURE ABANDONMENT, PISTE CLOSURE, MISSED PORT PO Box 395 Monks Green Farm, Mangrove Lane Hertford SG13 9JW Email: claims@tifgroup.co.uk Web: www.tifgroup.co.uk/services/claims Dear Customer, In order that we can process your claim quickly, please complete all relevant sections of the claim form, giving as much detail as you can and return it to us at the above address, together with the following ORIGINAL documentation. Please note that in the interest of protecting ourselves from fraud we are unable to accept photocopied receipts or invoices. We recommend that you keep your own copy of all documents forwarded to us. To help you enclose the correct paperwork to support your claim we have put together a checklist. Please ensure you read this carefully, as failure to supply the correct documents may delay our assessment of your claim. ALL CLAIMS CHECKLIST OF DOCUMENTS REQUIRED A COPY OF YOUR PASSPORT OR DRIVING LICENCE DOCUMENTATION SHOWING YOUR TRAVEL DATES AND FULL COST OF THE TRIP (booking invoice) EVIDENCE OF PRE-PAYMENT FOR EXCURSIONS BOOKED THE SAME TIME AS THE MAIN TRIP FOR DEPARTURE DELAY A LETTER FROM THE CARRIER CONFIRMING THE REASON FOR THE DELAY THE SCHEDULES SHOWING THE PLANNED AND THE ACTUAL DEPARTURE TIMES FOR MISSED DEPARTURE ORIGINAL UNUSED TICKETS TICKETS FOR ANY ADDITIONAL TRAVEL PROOF OF AMOUNT PAID FOR ANY ADDITIONAL TRANSPORT USED TO GET YOU TO YOUR DESTINATION WRITTEN EVIDENCE OF THE BREAKDOWN OR ACCIDENT TO YOUR VEHICLE WRITTEN EVIDENCE TO CONFIRM ANY PRE-BOOKED PUBLIC TRANSPORT SCHEDULE SHOWING PLANNED AND ACTUAL DEPARTURE TIMES FOR ABANDONMENT AFTER 24 HOURS A LETTER FROM THE CARRIER CONFIRMING THE REASON FOR THE DELAY SCHEDULES SHOWING PLANNED AND ACTUAL DEPARTURE TIMES CARRIER / TOUR OPERATORS CONFIRMATION THAT NO ALTERNATIVE TRANSPORT WAS OFFERED TO YOU FOR PISTE CLOSURE WRITTEN EVIDENCE FROM RESORT AUTHORITIES OR TOUR OPERATOR CONFIRMING THE TOTAL CLOSURE OF THE SKIING FACILITIES AT YOUR RESORT STATING: THE REASON FOR CLOSURE, THE DATE AND TIME OF THE TOTAL CLOSURE, AND THE DATE AND TIME THE SKIING FACILITES RE-OPENED. FOR MISSED PORT CONFIRMATION FROM THE CRUISE LINER DETAILING ANY MISSED PORTS AND CAUSE CONFIRMATION OF ANY REFUND/ON-BOARD CREDITS GIVEN FULL CRUISE ITINERARY You should note that all the information provided to us on this form will be stored electronically in accordance with The Data Protection Act and shared with the Insurance Industry Fraud Prevention Unit. If you make a fraudulent or intentionally exaggerated claim this will invalidate your claim and we will pursue a recovery through the civil courts in all cases. We do understand that it may take time to collect all the documentation required but please try to submit your claim as soon as possible after the event. Yours faithfully,

CLAIM FOR DEPARTURE DELAY, MISSED DEPARTURE, ABANDONMENT, PISTE CLOSURE Claim Reference Number: TBA Please complete all sections of this form and check the list of additional documents you need to send in order that we can assess your claim. Please ensure you read this carefully as failure to supply the correct documents may delay our assessment of your claim. TO BE COMPLETED BY THE CLAIMANT Title: First Name: Surname: Address: Post Code: Telephone: Date of Birth: Email: DETAILS OF THE INSURANCE POLICY Where / who did buy your insurance from: Policy name: Date Policy Issued: Policy number: Found on Schedule, Certificate, or Booking Invoice Destination: i.e. Spain/Thailand/USA DETAILS OF TRIP Travel Agent / Tour Operator: Date trip booked: Date final balance paid: Method of payment (cash, cheque, debit card, credit card): Trip Dates From: To: Please complete the following section if your travel arrangements were delayed at the beginning or end of your trip DEPARTURE DELAY - DETAILS OF CLAIM Was the delay caused on your outbound or inbound journey? Outbound: Inbound: Scheduled departure date: Time: Actual departure date: Time: Airport / Station or Port: Was this your international departure point? Yes: No: Airline / Operator: Flight / Ticket Number: What time did the check-in desk open according to your itinerary? What time did you actually check-in? How long was your departure delayed from its scheduled time? What reason was given for the delay? is a division of Travel Insurance Facilities PLC. Registered Office: 1 Tower View, Kings Hill, West Malling, Kent, ME19 4UY Registration No.3220410

CLAIM FOR DEPARTURE DELAY, MISSED DEPARTURE, ABANDONMENT, PISTE CLOSURE Claim Reference Number: TBA Please complete all sections of this form and check the list of additional documents you need to send in order that we can assess your claim. Please ensure you read this carefully as failure to supply the correct documents may delay our assessment of your claim. Please complete the following section if you had to make alternative arrangements to reach your international departure point. MISSED DEPARTURE - DETAILS OF CLAIM Date of planned departure: Planned time: Date of actual departure: Actual time: Describe the reason for the late arrival and at what point the delay in the journey occurred: What alternate arrangements were offered to you: Who made the arrangements: If the claim was caused by mechanical failure of your own transport, please provide proof of the breakdown (garage receipt or breakdown service invoice). Please tick box to confirm attached: Additional costs involved on missed departure: DATE ITEM BILL FROM CURRENCY AMOUNT If the claim had been caused by you being involved in a road traffic accident making your vehicle undrivable, please provide details of the driver and their insurance: Title: First Name: Surname: Address: Post Code: Insurance company: Certificate Number: Has a claim been submitted under any other insurance policy? Yes: No: If yes, please advise the claim reference and details: is a division of Travel Insurance Facilities PLC. Registered Office: 1 Tower View, Kings Hill, West Malling, Kent, ME19 4UY Registration No.3220410

Please complete the following section if you abandoned your trip after a delay. ABANDONMENT In respect of cancellation due to travel delay longer than 24 hours (dependent on your policy terms) on your outbound trip. Total amount paid for trip: Number of people claiming: Total of all refunds received: Total amount being claimed for unused trip: Please advise the name of the person to whom the settlement cheque should be payable: please print Please complete the following section if you are claiming for lack of snow at your winter resort PISTE CLOSURE Date piste closed: Time piste closed: Date piste re-opened: Time piste re-opened: Reason for piste closure: Please complete the following section if you are claiming for a missed port while on a cruise MISSED PORT - DETAILS OF CLAIM Date(s) of missed port(s) Number of claimants Number of missed port(s) Reason for missed port(s) DECLARATION I/We declare that all the details provided above are true and accurate to best of my knowledge. I/We give consent for to seek recovery of monies paid where other insurers cover the same risk, or from third parties who may be held liable. I/We understand that details of this claim may be passed to the insurance industries central claim register I/We understand that if a claim is found to be fraudulent of exaggerated that this will invalidate the whole claim and may seek to recover any costs through the civil courts. I/We Understand that where a claim or claims are made on behalf of others, I have their full authority to act on their behalf, and I confirm that I understand that neither or the underwriters of the policy will accept responsibility if any payments are not distributed proportionately to the persons concerns. Once you have read and agreed to the above declarations, please sign and date below. Signed: Dated: Please print name:

SETTLEMENT BY BACS PO Box 395 Monks Green Farm Mangrove Lane Hertford SG13 9JW Email: claims@tif-plc.co.uk Web: www.tifgroup.co.uk For your convenience and to offer an efficient smoother service, we will pay any claim settlement due directly into your bank account. Please provide your details on this form, remembering to sign and date below. PLEASE NOTE THAT WE WILL NOT ISSUE PAYMENTS BY CHEQUE AS THESE WILL TAKE LONGER TO PROCESS, WE APOLOGISE FOR ANY INCONVENIENCE CAUSED. YOUR DETAILS Name of Claimant BANK ACCOUNT DETAILS Name of Payee This should be the same as held on the bank account Bank Name Country Post Code Bank Account number Sort Code - - Signed Dated If your bank account is held abroad, please also enter the following details: IBAN / BIC number Swift code We do not accept liability for any errors due to the incorrect bank details being provided by you. Office Use Only Auth: Dated: is a division of Travel Insurance Facilities PLC. Registered Office: 1 Tower View, Kings Hill, West Malling, Kent, ME19 4UY Registration No.3220410