Full vet history for first claims and/or new conditions attached.
Detailed invoices included (statements will not be accepted.)
All other supporting documentation.
Submission within 60 days of treatment date on the invoice.
Please make sure your form is completed accurately, or this will cause delays.
Remember to complete a separate form for each pet.
If you’re having technical problems submitting this online form, you can download one here and together with all invoices and supporting documentation (including vet history if necessary), email to firstname.lastname@example.org or fax to (021) 701 2027.