Cap Au Pair

Insurance

Subscriber

Insured

Summary

Payment

Finish

What is the departure date (or start of cover date) ?

What is the return date ? (12 months max. renewable once)

What is your country of residence ?

What is your destination (your au pair's country)?

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