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Travel Insurance application – Instructions

Your contract will go into effect as soon as your application is received.

See the demonstration to find out more about how online forms and applications work.

Make applying online easy


Time required to complete application:	Between 5 and 10 minutes. (For security purposes, your application form will be automatically terminated after 30 minutes of inactivity.)
Application processing time:	Your application will be processed automatically following its receipt.
Information to provide:	First name, last name, gender and age of the person or persons to be covered. The credit card number you will use to make your payment.
Specific requirements:	In order to be eligible for Travel Insurance, you must be a resident of Canada and be covered under the government health and hospitalization insurance plan of your province of residence. Your trip must begin and end in your Canadian province of residence. You must be 18 years of age or older by your expected departure date in order to enrol in Travel Insurance. If you are age 55 or over now or will be on your scheduled departure date, you must fill out an insurability questionnaire. call us at 1-866-525-5247, Monday to Friday, from 8 a.m. to 8:30 p.m., and Saturday, 8 a.m. to 4:30 p.m. (EST).
Recommendations:	As your application cannot be saved, please print a copy for your files before submitting it. The Distribution Guide and General Conditions provides all the information you need about Travel Insurance. Download the Guide and General Conditions (PDF, 735 KB).

Continue your travel insurance application

Please note that all our forms are secure and that the personal information you send is used only for the purpose of responding to your application. To find out more about privacy and security.

For help completing the application, please contact Desjardins Financial Security at 1-800-463-1623, Monday to Friday, 8 a.m. to 8 p.m., and Saturday 8:30 a.m. to 4:30 p.m. (EST).