travel-insurance-vacations-form-integration

Are you an individual or are you submitting on behalf of a guest?

Individual

Travel agent

If a travel agent, please provide your IATA number:

Guest information

First name:

Last name:

Email address:

Example: john@email.com

Confirm email address:

Example: john@email.com

Phone number:

Example: 5554443333

Flight and claim information

Reason for request:

WestJet Vacations booking number:

Flight number for interrupted flight:

Departure date:

Departure City:

Arrival City:

WestJet Rewards ID:

Insurance company name:

Insurance company email:

Insurance claim number:

Purpose for the letter: