Request a Vacation Watch

This form is used to notify us of your upcoming vacation. The answers to the requested information will help us be aware of your vacation, and will give us the necessary information to contact you or your designated representative in case of an emergency while you are away. Please complete the form as much as possible. To avoid any delays in vacation watch coverage please submit your requests within 7 business days prior to travel. If your travel time is less than anticipated, please call (402)296-9370 to have the vacation watch lifted.