Temporal Insurance Policy Exception Request Form

Name:
Date of Temporal Incursion:
Reason for Exception:
Submit Exception Request

By submitting this form, you acknowledge that your temporal insurance policy may be voided due to the following exceptions:

• Temporal paradoxes
• Chrono-disruptions
• Space-time continuum anomalies
• Mistakes

Don't forget to sign the waiver before submitting your request.

Policy Details