Trip Cancellation-Interruption Claim Form
This file is essential for travelers who need to claim trip cancellations or interruptions. It provides detailed instructions and required documentation for submission. Use this form to ensure a smooth claims process with Berkshire Hathaway Specialty Insurance.
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How do I fill this out?
To fill out this form, begin by collecting all necessary documentation regarding your trip. Carefully fill in each section with accurate information to ensure proper processing. Once completed, submit it through the method that suits you best.

How to fill out the Trip Cancellation-Interruption Claim Form?
1
Collect all required documentation pertinent to your claim.
2
Fill in the claimant's information and trip details.
3
Provide explanations for any trip interruptions or cancellations.
4
Attach all necessary proof and receipts to support your claims.
5
Submit the completed form via email, mail, or fax.
Who needs the Trip Cancellation-Interruption Claim Form?
1
Travelers who have canceled trips and wish to reclaim expenses.
2
Individuals who experienced travel delays and incurred additional costs.
3
Anyone who has purchased travel insurance requiring a claim documentation.
4
Families needing to claim costs due to a travel-related illness or emergency.
5
Business travelers facing interruptions that affect their trips.
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What are the instructions for submitting this form?
Submit the completed Trip Cancellation-Interruption Claim Form by emailing it to travelex.claims@bhspecialty.com, faxing it to 715-303-6328, or mailing it to Berkshire Hathaway Specialty Insurance, P.O. Box 2986, Clinton IA 52733-2986. Make sure to include all required documentation such as proof of payment and itineraries. For any questions, feel free to reach out via the provided contact details.
What are the important dates for this form in 2024 and 2025?
It's essential to be aware of the key dates related to your insurance policy and claim submission deadlines for 2024 and 2025. Make sure to check your individual policy for any specific timelines. Staying informed will ensure the timely processing of your claims.

What is the purpose of this form?
The Trip Cancellation-Interruption Claim Form is designed to help travelers reclaim expenses incurred due to unexpected trip disruptions. It allows for a clear and organized way to submit necessary information and documentation required by Berkshire Hathaway Specialty Insurance. This ensures that your claims are processed efficiently and accurately.

Tell me about this form and its components and fields line-by-line.

- 1. Claimant's Name: Full name of the person filing the claim.
- 2. Confirmation/Policy Number: Policy number issued for your travel insurance.
- 3. Full Address: Home address of the claimant.
- 4. Home Phone: Contact number for the claimant.
- 5. Business Phone: Additional contact number, if applicable.
- 6. Email Address: Email for correspondence regarding the claim.
- 7. Date of Birth: Claimant's date of birth.
- 8. Reason for Cancellation: Explanation of why the trip was canceled or interrupted.
- 9. Proof of Payment: Receipts or statements showing payment for the trip.
- 10. Other Documentation: Any other documents that support your claim.
What happens if I fail to submit this form?
Failing to submit this form can delay your claim processing significantly. Without proper documentation, your request may be denied. It’s crucial to submit all required information accurately to avoid these pitfalls.
- Delayed Claims Processing: Incompleteness can lead to significant delays in processing your claim.
- Denial of Claim: Incomplete submissions may result in the rejection of your claim.
- Lack of Appropriate Documentation: Missing documents can hinder the claims process.
How do I know when to use this form?

- 1. Trip Cancellations: When a trip is canceled for valid reasons, use this form to claim expenses.
- 2. Trip Interruptions: For any disruption during your trip that has incurred extra costs.
- 3. Non-refundable Expenses: Use the form to claim for those costs not recoverable from other sources.
Frequently Asked Questions
What is this claim form for?
This form is used to submit claims for trip cancellations or interruptions.
How do I submit my claim?
You can submit your claim by email, mail, or fax to Berkshire Hathaway Specialty Insurance.
What documentation do I need?
You need to provide proof of payment, itineraries, and evidence of the reason for your claim.
Can I edit the PDF online?
Yes, you can easily edit the PDF on PrintFriendly before submitting.
How can I sign this document?
You can add a digital signature within the PrintFriendly PDF editor.
Is there a deadline to submit the claim?
Please check the specific terms of your insurance policy for submission deadlines.
What if my claim is denied?
You can appeal the decision by providing additional documentation or clarification.
Do I need to send original documents?
You should send copies unless specified otherwise in your claim instructions.
How will I know if my claim is approved?
You will receive a notification via email regarding your claim status.
Can I submit more than one claim?
Yes, you can submit separate claims for different trips or reasons.
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