Get Travel Declaration Form

The Travel Declaration Form is essential for NMC members to activate their international travel insurance benefits. This guide provides clear instructions for users to complete the form online, ensuring a smooth experience in securing emergency medical coverage while traveling abroad.

Follow the steps to complete the Travel Declaration Form effectively.

1. Press the ‘Get Form’ button to access the Travel Declaration Form online and open it in your document management system.
2. Fill in the 'Scheme' field with the name of your medical scheme. This informs the provider of your insurance affiliation.
3. Enter your 'Membership Number' exactly as it appears on your medical scheme documentation to verify coverage.
4. Specify your 'Title,' such as Mr., Ms., or Dr., to make identification clear.
5. Provide your 'First Name' and 'Surname' as they appear on your identification documentation to ensure accuracy.
6. Input your 'Date of Birth' in the correct format to facilitate age verification for the insurance coverage.
7. Enter your 'Passport Number' as required for travel identification. This is vital for international travel documentation.
8. List your 'Telephone Number' and 'Fax Number' for contact purposes regarding your coverage and claims.
9. Provide your 'Email Address' to receive the Travel Protection Certificate and any important updates.
10. Indicate your 'Departure Date' from home and 'Return Date' to home, ensuring your travel dates are correct for insurance periods.
11. Fill in the 'Countries to be visited' to outline your travel itinerary, which is crucial for coverage activation.
12. Include the 'House Doctor Name and Telephone' for any necessary medical contact references during your trip.
13. Enter the details of your 'Next of Kin' and their 'Telephone Number' for emergency contact purposes.
14. Mark with an asterisk (*) where you wish to receive your Travel Protection Certificate, either via fax or email, for your records.
15. Review all entered information for accuracy before submitting.
16. Once the form is complete, save your changes, then download or print a copy for your records. Finally, submit the form via fax or email to finalize your insurance cover.

Complete your Travel Declaration Form online to secure your international travel coverage today.