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French Health Insurance Quote
for Cats and Dogs in France

For a health insurance quote for your dog or cat in France, please fill in the form below.

The form below must be filled in COMPLETELY for a quote to be formulated.


1. YOUR IDENTITY
Title:  Mr:  Mrs:  Ms:


Date of birth:




Mobile:


Town (in France):




Fax:


Address (in France):


Postcode (in France):

 

2. ANIMAL TO INSURE
Cat

Name:


Animal Breed:


Sex of animal:

Dog

Date of birth:


Tattoo number (compulsory for dogs):

 

3. HEALTH QUESTIONNAIRE
Has the animal got an acute or chronic illness and/or congenital defect(s)?
Yes   No

If yes, which one(s)?


Has the animal had a surgical operation or veterinarian treatment other than preventative vaccination?
Yes   No

If yes, advise the nature of the illness or of the injuries:

Illness/injury 1:


Date of illness/injury 1:


Illness/injury 2:


Date of illness/injury 2:

Date required for the insurance to commence:

Receive relevant information from third parties?
Yes   No

Please note that we cannot accept insurance for:
  • Animals less than 3 months old or older than 7 years old
  • Dogs not tattooed
  • Dangerous dogs (dogs of 1st or 2nd category according to French law like Pitt Bull, Rottweiler etc)
  • Dog husbandry, packs, dogs used for professional activities of security or rescue

 

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