Claim Form - Cancellation, Curtailment Or Rearrangement
ADVERTISEMENT
1
2
3ACE European Group
CL IM FORM
ACE Travel Insurance Claims
OSG, Merrion Hall, Strand Road,
Sandymount, Dublin 4
Cancellation, Curtailment
tel: 1800 719 420 or
+353 (0)1 440 1757
or Rearrangement
PLEASE WRITE IN BLACK INK AND USE BLOCK CAPITAL LETTERS.
ALL SECTIONS MUST BE COMPLETED OR MARKED ‘NOT APPLICABLE .
COMPLETE THE CHECKLIST AND ENSURE THAT YOU SIGN THE DECLARATION AT THE END OF THIS FORM.
Policy no.
MAIN POLICYHOLDER DETAILS
Title
First name
Last name
Email address
Date of birth
(DD/MM/YYYY)
Full address
Postcode
Contact no.
Contact no.
Daytime
Evening
For security purposes please provide a password which
will be required to access your claim information
This is for additional security and you may be asked for it when calling ACE
INSURED PERSONS DETAILS
Full name
Date of birth
Relationship to
I intend to claim
(DD/MM/YYYY)
main policyholder
on behalf of:
(
) where applicable
MAIN POLICYHOLDER AS ABOVE
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal