Exotic Insurance | Get Exotic Pet Insurance from Petcover

Exotic Animals Free Policy Registration

Exotic Trial Policy registration

Telephone: 0800 255 426

Email:

Your Details
Your Details
Business/Practice name*
Petcover Registration No*
Phone
Email
Your Details
Client Details (Pet Owner)
Title
Name
First Last
Is the client over 18?
Phone
Email
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Your Details
Pet Details
Exotic Type*
- Small Mammal
- Bird
- Bird of prey
- Reptile
- Turtle/Tortoise
Species/Breed
Pet Name
Pet Gender
Birth/Hatch Date
Purchase Price
Your Details
Questions
Pets Microchip Number
Has the pet been seen by a vet in the past 24 hours?*
Does the pet have an existing condition; or any deformity; or has not shown any signs of illness or injury; or been seen by a vet; or been on any medication; either now or in the past?*
Provide details of any existing condition(s), any deformity, sign(s) of illness or injury, or medication the pet has had, either now or in the past.
Provide details of when the pet showed any sign(s) of illness or injury, was seen by a vet or received medication.
Please provide the name, address and telephone number of each vet that has seen the pet during ownership.
Does the pet have any other insurance policy covering them currently or has this pet been issued an introductory 4 week trial policy previously?*
Have you advised the owner that they are receiving the introductory cover?*
Have you advised the owner that the cover has a 3 day waiting period for an injury and a 7 day waiting period for illnesses?*
Do you agree to the following? The information provided is accurate and complete to the best of your knowledge and you are aware that any incorrect information may result in the policy being cancelled and/or any claim not being paid or a reduced amount paid.*
Please confirm the above statements about you and your pet are true. Yes/No*
Comments
Consent*
I agree to the privacy policy.
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Exotic Animals Free Policy Registration

Exotic Trial Policy registration

Your Details

Client Details (Pet Owner)

Pet Details

Questions