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Request to add a new traveller to my Aviva Signature Travel Insurance policy

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Important information

Please be aware that we are unable to provide you with a quotation and that any changes to your policy will only be effective from the time you receive confirmation from us.

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Your details

Policy number

It’s important that you include this as it helps us identify your policy.

Select the policy number your enquiry is about

Policy number

It’s important that you include this as it helps us identify your policy.

First name

Last name

Email address

Contact number

First line of home address

Postcode of home address

New traveller details

These details must match what is shown on their passport

New traveller's title

New traveller's first name

New traveller's last name

New traveller's date of birth

Please enter the date in the format dd/mm/yyyy

Have they taken any prescribed medication, received medical advice or treatment within the last 12 months?

If yes, please provide us with further information. Otherwise, please put "No".

Have they been placed under investigation or awaiting results for any diagnosed or undiagnosed medical condition?

If yes, please provide us with further information. Otherwise, please put "No".

Have they been placed on a waiting list for, or been made aware of the need for, any in-patient treatment for any diagnosed or undiagnosed medical condition?

If yes, please provide us with further information. Otherwise, please put "No".

Will the traveller be carrying out any business during their trip?

If yes, please provide us with further information. Otherwise, please put "No".

Will the additional traveller be taking part in any golfing or scuba diving activities?

If yes, please provide us with further information. Otherwise, please put "No".

Do you need to make any other changes?

If yes, please tell us more. Otherwise, please put "No".

The addition of a new traveller will be based on the assumption that:

The trip will start and finish in the UK
The trip has not already started
You are not currently in a claims situation or know of any reason why you might need to make a claim
No traveller has had insurance refused, cancelled or had special terms imposed
No person has made 3 or more travel claims in the last 3 years
Nobody on the policy has received any criminal convictions involving fraud, theft, dishonesty or deception in the last 5 years
No person on this policy is aware of any reason that could lead to the cancellation or abandonment of a trip. This includes being aware of a close relative, business associate, travelling companion or someone you are planning to stay with on your trip, who has a serious, chronic or recurring illness, injury or disease that would mean you may have to cancel or abandon a trip if their condition got worse
Every traveller has been a UK resident for the last 6 months. We define a UK resident as a person whose main home is in the UK, is registered with a doctor and is liable to pay taxes in the UK.

Please tick the box to indicate that you meet the assumptions above

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