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Travel Insurance Application Form

Going Overseas?

If you are going overseas on official ACT Government business you will need insurance cover for the time you are away.

You can obtain this insurance cover by completing the application form and faxing to ACTIA at 620 70301.

Please complete this form at least 3 weeks before your travel.

As an ACT Government employee you must provide ALL travel information to ACTIA or you may not be insured.

Please contact the ACTIA Underwriter if you would like to discuss your travel insurance.

To talk to the Underwriting Manager, click here to go to the ACTIA Contacts page.

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The ACT Insurance Authority Travel Insurance Application Form

Click here to download the ACTIA Travel Insurance Application Form (April 2012 version) in MS WORD format

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