Cap Au Pair

Insurance

Subscriber

Insured

Summary

Payment

Finish

What is the departure date ?

Indicate the date you want the cover to start.

What is the return date ?

This is the last day of your cover (Maximum duration: 12 months)

What is your place of residence ?

Indicate the place where you usually live.

What is your destination ?

Indicate the country you are going to as an Au Pair.

I am a European Health Insurance Card holder

Yes

Only if you are a European resident, going to Europe.

What is your host family’s name ?

The insured acknowledges having received a copy of the Chartis Policy No 4.091.300 terms and conditions and accepts them

Yes

I declare being on good health and knowing that any consequences of illnesses and accidents which occurred prior to the subscription will not be covered

Yes

I certify I have not been hospitalised in the past six months and do not plan to undertake a treatment overseas

Yes

If you have a code, enter it here

Chapka travel Insurance