Domestic Travel Insurance

Even if you stay and holiday in Australia, it pays to be protected.

If you are travelling by Cruise Ship in Australian Waters

These policies might not cover you. Please read the Product Disclosure Statement (PDS) provided to ensure you are covered.

Leave Date

Return Date

How many
travelling?

Primary Traveller
Date of Birth

Secondary Traveller
Date of Birth

Number of
Dependent Children

Under 21 21-24

The above named traveller(s) are under the age of 18 years. Please confirm you are authorised to sign this document on their behalf.

I am the legal Guardian/Parent of the above named applicant and am authorised to sign the application, which is a legal document, on their behalf.