Travel Insurance Form - Trinity College Dublin

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Trinity College Dublin Travel Insurance Programme
Background
Trinity College Dublin organise a business travel Insurance Scheme with Royal and Sun
Alliance.
Policy No.:
PP92974932
Persons Insured
Any person (excluding students other than postgraduates) over the age of 17 authorised
by the College to travel on official business of the College (including incidental holiday
travel if in the same country as business destination) excluding persons on long term
secondment. College business travel must be approved by the Head of School or Head
of Administrative Area.
Maximum duration of any one trip : 6 months
Journeys Covered
Any journey on official business of the College with destinations outside the Republic of
Ireland and Northern Ireland Journeys as defined below are not covered.
NB: Travel to the following countries will not be covered unless they are declared to
insurers in advance of the commencement of the journey and accepted in writing by
insurers prior to departure. A request for such cover must be submitted to the Director
of Buildings Office (insurance@tcd.ie) and the College Safety Officer accompanied by a
detailed risk assessment along with a detailed itinerary, signed by the Head of School or
Head of Administrative Area and the individuals travelling, no less than ten days in
advance of proposed trip. A letter from the Head of School/Administrative Area setting
out why this trip is essential to the business of the College must accompany the above
documentation. If successful in obtaining cover an additional premium will apply which
will be payable by the Department.
Afghanistan
Iran
Somalia
Mali
North Korea
Syria
Sudan
South Sudan
Yemen
Liberia
Summary of Cover
Medical Expenses
Unlimited
Personal Baggage
EUR 15,000
Personal Liability
EUR 7,500,000
Cancellation /
Curtailment
Money
(subject to policy conditions) EUR 15,000
EUR 7,500
Hi-Jack/Kidnap
Max claim from injury
Up to a maximum of EUR 40,000 (€400 limit per
day)
EUR 25,000,000 - Multi engined aircraft
relating to aircraft
regardless of number of
persons involved is:
Deductible:
The first €100 of each claim
Cover Requirement
Cover is only operative provided the journey is authorised by your Head of School or Head of
Administrative Area and a travel insurance form has been completed and returned to the
Director of Buildings Office, West Chapel, at least five days prior to the commencement of
the journey. This may be done on-line below or a hard copy may be printed out and returned to
the Director of Buildings Office, West Chapel, College.
Claims
A claim under the policy should be notified immediately in writing to Patricia Gray at
insurance@tcd.ie or to the Director of Buildings Office, West Chapel, College. In the
event of theft, the local police must be notified and a statement obtained from them that
the matter is noted and will be investigated. Luggage loss, in the custody of an airline,
must be reported to the airline and a report obtained from them. All reports, medical
certificates, receipts and proof of travel must be retained to support any claim.
Capita Worldwide Emergency Medical Assistance:
Tel:
+44 208 763 3315
Fax:
+44 208 763 3035
FirstAssist operates 24 hours a day 365 days year. As well as medical assistance the
FirstAssist Travellers Helpline will provide the following assistance:

Advice on replacement of lost or stolen tickets, passport or travel documents

Assistance in liaison with carrier on location of lost luggage items

Emergency message relay to family or business associate where normal channels
fail

Referral to Embassy or Consulate where legal consultation is needed

Multi lingual assistance co-ordinators speaking more than 15 languages

A network of doctors and nurses throughout the world
N.B. The services of the FirstAssist Traveller Helpline are to provide advice and
assistance only – there is no insurance cover in connection with these services.
Travel Insurance Application Form
(Please use this form only if you cannot access the on-line travel insurance form
at the following address: http://www.tcd.ie/Buildings/insurance.php. You must register your
password on the TCD Portal before you can access on-line forms
http://isservices.tcd.ie/websystems/index.php)
Trinity College Dublin Business Travel Insurance Scheme for persons (excluding students
other than Postgraduates) travelling on official College business. Please return
completed form to Ms. Patricia Gray, Administrative Officer, Director of Buildings’ Office,
West Chapel, College. If you are undertaking more than one journey each individual
journey must be submitted on a separate form.
First Name
Surname
Staff Number
Postgraduate Student Number
School/Department
Has this trip been authorised by
your Head of School or Head of
Administrative Area?
Name of Head of
School/Administrative Area
Yes
No
Age (Between 17 and 75 inclusive)
Yes
No (If “No” then the trip
must be declared in writing to
Patricia Gray a minimum of 10
days in advance)
Date of Departure
Date of Return
Length of Trip (number of days out
of the country)
UK
Europe (excluding the UK)
Areas Visited
Asia
Queries should be addressed to
Africa
insurance@tcd.ie or by telephone at
Australasia
extension 2262.
North America
South America
Have you checked the travel advice
on the Department of Foreign
Affairs website, www.dfa.ie to
Yes
ensure the security risk status is
not greater than ‘Exercise Caution’.
No journey with a status greater
than ‘Exercise Caution is covered’.
No
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