Filing an Insurance Claim Response Form

If you have tested positive for COVID-19 while on tour and were unable to continue your trip or had to interrupt your trip, please fill out this form.

Step 1 ? Step 2
First name
Last name
Date of Birth
Step 1 ? Step 2
Trip departure date
Date of initial positive COVID-19 test
What kind of test returned the positive COVID-19 result?
Did you receive documentation confirming your positive COVID-19 result from a qualified healthcare professional (primary care physician, in-person, or telehealth) or a licensed lab?
Yes
No