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PetProtect Our Products Cover for Kittens / Cats

Cover for Kittens / Cats

${vet}

Pets Name

Owner Details

First Name

Last Name

Home Address

Email

Phone Number

The following consent is required to enable us to communicate with you
I consent to PetProtect and any other related entity using this email address for the purpose of disclosure, communication and promotional activity in relation to my Insurance Requirements.*

${pet_name}'s Pet Details

Breed

Do you know ${pet_name}'s date of birth?

Yes

No

Date of Birth

How old is ${pet_name} ? Years

Months

Is ${pet_name} a male or female?

Male

Female

Has ${pet_name} been neutered?

Yes

No

Has ${pet_name} been spayed?

Yes

No

Has ${pet_name} ever received treatment for anything more than routine vaccinations or desexing?

Yes

No

Does ${pet_name} have any of the following: (Hold Ctrl for Multiple)

Has ${pet_name} ever been insured?

Yes

No

Has any provider ever refused to cover you?

Yes

No

Have you ever made a claim on any type of pet cover (in the past 5 years)?

Yes

No

Has any provider ever cancelled, refused to renew or imposed special conditions on any cover held by you?

Yes

No

I, ${policyholder_first_name} ${policyholder_last_name} declare and acknowledge:

that the information supplied above is correct

that I am the owner of ${pet_name}

that ${underwriting_criteria.existing_issues_cat.value} is not included in the policy cover

that ${pet_name} has never been insured

that I have not made a claim on Pet insurance for ${pet_name} in the last 5 years.

that no insurer has ever cancelled or refused to renew ${pet_name}’s Insurance Cover.

Cover for Kittens / Cats

${vet}

Owner Details

${pet_name}'s Pet Details

Diamond Cover

PREMIUM

Emerald Cover

PREMIUM