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French Health Insurance Quote
for Cats and Dogs in France

For a free 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:
Last name: Date of birth: Telephone: Mobile: Town (in France):		First name: Your e-mail address: 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