Travel Insurance Claim Form - MAWDY - Claim Submission Details

To submit this form, ensure all sections are completed accurately and attach all required supporting documents. Submit the completed form along with documents via email to claims@mawdy.ie, fax to +353 1 123 4567, or through the online submission form available on www.mawdy.ie/claims. Alternatively, you can mail the documents to MAWDY Claims Department, 123 Insurance Lane, Dublin, Ireland. For timely processing, ensure all required information and documents are included.

Ensure your form is submitted within the specified timeline for your travel insurance policy. Review policy details for deadlines.

The purpose of the Travel Insurance Claim Form is to facilitate the submission of claims related to travel insurance policies. This form allows the claimant to provide detailed information about the nature of their claim, whether it be for medical expenses, lost luggage, trip cancellations, or other incidents. By submitting this form along with the necessary supporting documents, claimants can expedite the processing of their claims and receive the reimbursement they are entitled to.

• 1. Full name: Claimant's personal information including title, surname, and forename(s)
• 2. Address and Eircode: Claimant's address details
• 3. Date of Birth: Claimant's date of birth
• 4. Occupation: Claimant's occupation details
• 5. Travel Insurance Policy: Details of the travel insurance policy including policy number and issuing company
• 6. Claim Reference: Reference number for the claim
• 7. Incident Details: Description of the incident causing the claim
• 8. Bank Details: Claimant's bank details for reimbursement purposes
• 9. Declaration: Signature and date section for claimants

Failure to submit this form can result in delays or denial of your claim.

• Claims Processing Delay: Incomplete submissions will delay the evaluation and processing of your claim.
• Claim Denial: Insufficient information or missing documents may result in denial of the claim.
• Request for Further Information: Claims without all required details will likely incur follow-up requests for additional information, leading to further delays.

• 1. Medical Expenses Claim: For claims involving medical expenses incurred abroad.
• 2. Lost or Delayed Luggage: For claims related to luggage that was lost or delayed during travel.
• 3. Trip Cancellation: For claims due to the cancellation of a trip for covered reasons.
• 4. Travel Disruption: For claims related to disruptions such as missed departures or catastrophes.
• 5. Personal Belongings Theft: For claims involving theft of personal belongings during travel.