Notify us of a new Equine Insurance claim

What type of claim would you like to make?

Vets fees only

Loss of animal only

Vets fees AND loss of animal

Is this a working animal?

Yes

No

Age of animal

When was the animal purchased?

Was the Animal put to sleep by a vet or other professional?

Yes

No

What condition led to the animal being put to sleep?

What date was the animal put to sleep?

What date did the animal pass away?

Did a vet attend the animal?

Yes

No

Please confirm their name, contact number, company name.

1300 characters

If you have incurred veterinary fees, should your claim for be accepted please confirm who you would like payment to be made to?

Policyholder

Vet

Are you eligible to claim VAT costs back from your veterinary bills?

Yes

No

Before you contacted your veterinary surgery, when did the animal start presenting symptoms?

What symptoms is the animal suffering from and what action has been taken?

1300 characters

Please select one of the options that best describes what condition you need to claim fo

Has the animal suffered from a similar problem previously?

Yes

No

What problem has the animal previously suffered from?

1300 characters

Have you contacted a vet?

Yes

No

On what date was the vet contacted?

Have any other vets or practitioners been involved in treatment related to this claim?

Yes

No

Who are the other vets or practitioners and what treatments were administered by them?

Has the animal previously received treatment from a vet(s) that is not listed?

Yes

No

Who are the vets not listed from whom the animal has previously received treatment?

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