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Get a Pet Insurance Claim Form

Download our pet insurance claim form by clicking the button below. The form is a PDF file, so you'll need Adobe Acrobat Reader to open it.

Please send it to us with your receipts to the address, fax number, or email on the form within 180 days of the date of service. Remember to sign it, and have your veterinarian, or an authorized representative, sign it too.

Need more information? See how to file a claim.