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Province of Residence * - Choose - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Saskatchewan Yukon

Type of insurance * - Choose - Single-Trip Plans Multi-Trip Plans

Have you purchased your trip within the last seven (7) days? * ?

Yes

No

Trip Purchase Date

To be eligible for Trip Protector or Comprehensive Coverage, this travel insurance must be purchased within seven (7) days of the initial down payment or purchase of your trip.

Average Trip Cost per Traveller (CA $) * ?

Average Trip Cost per Traveller

Average Trip Cost Per Traveller refers to the average trip cost, including airline tickets and accommodations, that is prepaid by each traveller prior in to departure on the trip. This information allows us to provide quotes for travel insurance products that include benefits for Trip Cancellation.

Dates

Departing *

Returning *

Number of Travellers

Adult
(Age 18-84) - 1 - - 2 - - 3 - - 4 - - 5 - - 6 - - 7 - - 8 - - 9 - - 10 -

Children
(Age 3-17) - 0 - - 1 - - 2 - - 3 - - 4 - - 5 - - 6 - - 7 - - 8 - - 9 - - 10 -

Infant
(under 3) - 0 - - 1 - - 2 - - 3 - - 4 - - 5 - - 6 - - 7 - - 8 - - 9 - - 10 -

Age of eldest traveller * (Over 84?) - Choose - - 18 - - 19 - - 20 - - 21 - - 22 - - 23 - - 24 - - 25 - - 26 - - 27 - - 28 - - 29 - - 30 - - 31 - - 32 - - 33 - - 34 - - 35 - - 36 - - 37 - - 38 - - 39 - - 40 - - 41 - - 42 - - 43 - - 44 - - 45 - - 46 - - 47 - - 48 - - 49 - - 50 - - 51 - - 52 - - 53 - - 54 - - 55 - - 56 - - 57 - - 58 - - 59 - - 60 - - 61 - - 62 - - 63 - - 64 - - 65 - - 66 - - 67 - - 68 - - 69 - - 70 - - 71 - - 72 - - 73 - - 74 - - 75 - - 76 - - 77 - - 78 - - 79 - - 80 - - 81 - - 82 - - 83 - - 84 -

Over 84

Cover is only available for travellers under 85.

Do you have a customer code?

Yes

No

Customer Code

Start Quote

Departing * Start Date * Validating quote Please wait while we validate your information. OK Your Departure date must occur on or after today's date. Returning date must occur on or after your Departing date. Please select a province Please select a type of insurance Please select when you purchased your trip The departing field must have a valid date for the product selected. The returning field must have a valid date for the product selected. Please select the Age of Eldest Traveller

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Allianz Global Assistance prides itself on providing individuals and their families with assistance and travel insurance solutions specific to their needs.

Travel Insurance is provided by Allianz Global Risks US Insurance Company – Canadian Branch (Allianz), and administered and distributed in Canada, outside the Province of Quebec, by Allianz Global Assistance. Allianz Global Assistance is the registered business name for AZGA Insurance Agency Canada Ltd. and AZGA Service Canada Inc. Allianz and Allianz Global Assistance are both members of the Allianz Group, one of the world's largest providers of insurance and financial services. All coverage is subject to the terms and conditions of the policy.

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