pet insurance quote 
online in the UK
Rabbit and Small Mammals
Application Form


Rabbits - Hamsters - Guinea Pigs - Ferrets
Gerbils - Rats - Other Small Mammals (excl Dogs & Cats)

Pets in the UK only

PHA pet insurance cover PHA Pet Insurance,
89 Station Road, Sidcup,
Kent, DA15 7DN, UK
Tel:
Contact Us

dog cat reptile exotic birds
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Dogs & Cats
  Cover
  Premiums
  Application

Rabbits/Small Mammals
  Cover
  Premiums
  Application


Reptiles/Exotic Mammals
  Cover
  Premiums
  Application

Exotic Birds
  Cover
  Premiums
  Application

Contact Us

ABOUT YOU:

TITLE
Mr Mrs Miss Ms

EMAIL(Required)

FORENAME

SURNAME

ADDRESS:


OCCUPATION

TELEPHONE

WORK PHONE

SSC Member? If so, enter your Username and Password
U/n: P/w:

ABOUT YOUR PET(S):


FIRST PET'S DETAILS


SECOND PET'S DETAILS


ADDITIONAL PET'S DETAILS



PREMIUM (tick extra boxes if more than one pet)
First Pet @ £46.20     Second Pet @ £43.20     Third Pet @ £43.20

(we will make contact re the collection of your premium and the start of your cover)

How would you prefer to pay your premium :

Cheque    Direct Debit    Credit Card

Please answer the following questions as fully as possible:

Have you had previous animal insurance?
If yes, which insurer was it with?


Did you have any claims?
If yes, what was the claim for?


Has any insurer declined a proposal, refused renewal, terminated cover or imposed special terms in respect of the risk to be insured?

Have you ever been convicted of arson, fraud, deception, robbery, forgery, theft, handling stolen property or any crime under the Wildlife & Country Act 1981?

For how long have you been keeping these types of animals?

DECLARATION - Please Read Carefully - In making this application, you warrant that the animal(s) identified are owned by you and to the best of your knowledge and belief, the information provided in connection with the application is true and you have not withheld any material facts. You fully understand the conditions and declaration of cover and also understand that non-disclosure or misrepresentation of a material fact will entitle the underwriters to void the insurance. NB a material fact is one likely to influence the acceptance or the assessment of this proposal by underwriters. If you are in any doubt as to what constitutes a material fact, please ask. You understand that the submitting of the application does not bind you to complete the insurance but agree that should a contract of insurance be concluded, this application and the statements made therein shall form the basis of the contract.

Cover Details        Premiums

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