Proof of Insurance World-Wide policy All students traveling with EF International Language Campuses are required to have adequate travel Insurance coverage from the time of departure until the return to their home country. A tailor made group travel insurance coverage is automatically included. Should you wish to renounce this coverage you need to fill out this form together with your own insurance company and send it back to EF for approval. All details below and page 2 need to be filled out. The Insurance has to cover medical expenses in case of Illness and Accident as well as Emergency Home Evacuation. Third Party Liability coverage is also required for all students. This Proof of Insurance needs to be signed and sent in original to EF International Language Campuses latest at due date of Final Invoice for full payment of course.
Student information First Name ___________________________________________ Last Name ______________________________________________ EF Booking #_________________________________________ Destination Country ______________________________________
Insurance company information Name ________________________________________________________________________________________________________ Address _____________________________________________ Telephone _______________________________________________ Post Code ____________________ City _______________________________Country _____________________________________ Policy Number ________________________________________________________________________________________________ Emergency Assistance Agent and Emergency telephone number ______________________________________________________ _____________________________________________________________________________________________________________ Price of Insurance _____________________________________________________________________________________________
Note that the insurance needs to be valid worldwide and cover the student not only while in school but 24/7. If the student is extending the length of the course the Insurance needs to be extended to cover the extended period. If student elects to extend its stay with EF International Language Campuses a new Proof of Insurance needs to be issued which states the extension policy until student returns to home country. This new Proof of Insurance will be sent to EF International Language Campuses office within 24 hours of extension.
Student/parent/legal guardian signatures I/We have read and understood the above information for the required insurance coverage. I/We also understand that meeting the stated minimum requirements (page 2) is necessary to be admitted to the school. I/We furthermore undertake and agree to pay all costs in connection with treatment, evacuation or repatriation (of our child), and to hold harmless EF International Language Campuses for any damages that I/our child may cause. I/We also understand that I/the student need/s to bring the insurance policy, and card to the school on the start date of the course. Student ______________________________________________________________________________________________________ Signature _____________________________________________________________________________________________________ Date _________________________________________________________________________________________________________ Mother/Legal guardian ________________________________ Father/Legal guardian _____________________________________ Signature ____________________________________________ Signature________________________________________________ Date ________________________________________________ Date____________________________________________________