Travel Insurance WaiverYou must have JavaScript enabled to use this form.Indicates required field Traveler NameTraveler EmailTripTrip DatePlease check all that apply: I/We have purchased USI Travel Insurance Select I/We have purchased comprehensive travel insurance policy through another company I/We have supplemented insurance that provides coverage outside the U.S. for medical expenses I/We have supplemented insurance that provides coverage outside the U.S. for medical evacuation I/We have opted not to purchase any travel insuranceIf you have purchased comprehensive travel insurance policy through another company please state the company:
