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Get Travel Application Form - Blue Cross
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How to fill out the Travel Application Form - Blue Cross online
This guide provides clear and supportive instructions for completing the Travel Application Form - Blue Cross online. By following the steps outlined below, users can ensure they fill out the application accurately and efficiently.
Follow the steps to complete your Travel Application Form seamlessly.
- Click ‘Get Form’ button to obtain the Travel Application Form and open it in your preferred editor.
- Select the type of plan by checking the appropriate box for either 'Individual' or 'Family'. This determines the coverage you will receive.
- Fill in the 'Name of Applicant' field with the full name of the person applying for insurance.
- Enter your home address, including street, city, and postal code, in the 'Home Address' section, along with your home telephone number and email address.
- Provide details about your office or business by filling out the 'Name of Office/Business' and 'Office Address' sections.
- Input your occupation and nationality in the respective fields.
- The principal applicant must enter their ID number, such as their Tax Identification Number (TIN) or driver's license, as well as the purpose of the trip.
- List the persons to be insured, including their age, birthdate, gender, civil status, and relationship to the insured applicant. Ensure accuracy for proper coverage.
- Select the mode of payment—cash or check—according to your preference.
- Provide details on your itinerary, including the area covered, and specify the coverage commencement date and the duration of the trip.
- Read and acknowledge the statement regarding the truthfulness of the information provided and the conditions under which coverage applies. Ensure you agree by signing and dating the application.
- After reviewing your application for completeness and accuracy, you may save changes, download, print, or share the form as needed.
Complete your Travel Application Form online today to ensure a smooth travel experience!
Mail in a completed, signed claim form to Alberta Blue Cross®, 10009-108 St. NW, Edmonton, Alberta T5J 3C5. For your claim to be processed, original receipts and other supporting documentation must be attached.
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