Argos Pet Insurance Claim Form PDF Details

At Argos, we understand the importance of protecting your furry friends. That's why we offer comprehensive pet insurance to help you cover the cost of veterinary care in the event of an accident or illness. Our claim form is simple and straightforward, and our customer service team is happy to help you process your claim quickly and easily. So if you need to make a pet insurance claim, be sure to download our claim form and follow the instructions below. Thank you for choosing Argos Pet Insurance!

QuestionAnswer
Form NameArgos Pet Insurance Claim Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesargos pet claims online, argos pet insurance claim form pdf, argos pet insurance claim, argos pet claims

Form Preview Example

 

 

Claims Helpline: 0845 078 7500

Claim Form

claims@argospetinsurance.co.uk

To be completed and returned to: Argos Pet Insurance, Freepost - RSTK-EEBG-CJYS, PO BOX 16282, Birmingham B2 2XH.

A About you (the Policyholder)

If your name or address has changed, please tick

Name, address and postcode

Contact details

Tel Number (mobile preferred)

Email

Policy number

 

 

Policy Start Date

/

/

Level of Cover

 

 

Silver

Gold

Platinum

PLEASE NOTE that if any section of the form is not filled in, it may delay your claim – you MUST fill in sections A to E.

Please also read the following notes before submitting any claim and have your policy wording to hand for full details:

Your policy does NOT COVER in whole or as part of a claim:

•Any condition that started before the cover start date

•Any condition that started within the qualifying period of the cover start date

•The excess specified in your policy schedule

•Food

•Flea treatment

•Wormers

•Vaccinations

•Dental treatment unless caused by injury

If this is a claim for a new condition, please ensure the full medical history is attached to the claim form.

B About your pet

Your pet’s name (* multipet)

*If you have more than one pet insured with us, please ensure you enter the correct pet’s name and only one claim form per pet.

Cat

 

Dog

Male

 

Female

Breed

 

 

Date of birth

/

/

Has your pet been

Yes

No

neutered/spayed?

 

 

What is the weight of your pet?

kgs

Note: If you are not sure about any of the above information, please ask your vet to complete this for you.

C About your pet’s condition

Name of condition as advised by your vet

Please tell us when you first noticed your pet was unwell or injured, that led you to make an

appointment with your vet.

Did you contact our vetfone service?

Condition 1

Time & Date

Condition 2

 

 

Time & Date

 

Yes

No

Date

/ /

 

 

Was your pet under your care at the time of the illness/injury/incident?

If no, please provide the name and address of any authorised third party looking after your pet at the time of the incident

Yes

No

DYour previous veterinary practices (Please tell us ALL vet(s) where your pet was previously registered)

Vet name

 

 

Vet name

 

Please tell us your address at that time, if it

Address

 

 

Address

 

was different to the address in Section A

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Postcode

 

 

Postcode

 

 

Phone number

 

 

Phone number

 

 

 

 

 

 

 

Postcode

Date: from

to

Date: from

to

EYour signature (Policyholder – please complete one of the following boxes (a, b or c) to tell us who to pay)

I declare, to the best of my knowledge and belief, that all the information provided in this form is true and complete. I agree that Argos Pet Insurance may seek any information it requires from any vet. I accept that the information provided may be released to other companies who provide a service to Argos Pet Insurance in connection with managing and handling claims.

a Please pay my claim direct to me:

 

b Please pay my claim direct to my vet:

Printed name:

 

 

Printed name:

 

 

Policyholder’s signature:

 

Policyholder’s signature:

 

Date:

/

/

Date:

/

/

cPlease pay my claim direct to the person named below:

Printed name:

Policyholder’s signature:

Date:

/

/

Please note: if we decide we cannot pay some or all of your claim, it is your responsibility to pay your vet

FYour vet must fill in this section about each condition (We only accept claim forms from veterinary practices)

Please advise the date

 

 

this pet was registered

/

/

at your practice.

 

 

If this pet was referred to you, please advise the name and address of the registered vet

Was this pet referred to a complementary

If Yes, please advise the condition

treatment professional?

 

 

Yes

No

 

If Yes, please also complete Sections G & H

Did any condition being claimed result in the death or euthanasia of the pet?

Postcode

Yes

No

Date of death

/

/

If a house call was made, you must confirm in writing why it was absolutely essential

 

Condition 1

 

 

 

 

What are the main clinical signs?

 

 

 

 

 

 

What is the diagnosis? (This must be completed)

 

 

 

 

 

 

Please tell us the treatment dates for this claim

From

/

/

To

/

/

Have you filled in a claim for this condition before?

Yes

 

No

 

Don’t know

If yes, treatment dates from the previous claim

From

/

/

To

/

/

Condition 2

From

/

/

To

/

/

Yes

 

No

 

Don’t know

From

/

/

To

/

/

IF THIS IS A NEW CLAIM, PLEASE COMPLETE THE FOLLOWING QUESTIONS AND FORWARD THE FULL MEDICAL HISTORY. Please tell us the date or the number of days before the first date of treatment, that the clinical signs were first noticed.

Days

Date

/

/

Has this pet had this condition or clinical signs before, or any related

Yes

 

No

condition or clinical signs before?

 

 

 

 

(If ‘Yes’ we will need the medical history to show the dates and full details)

Days

Date

/

/

 

Yes

 

No

GComplementary treatment (N.B. If the claim involves complementary treatment this section of the claim form must be filled in by a vet and not the complementary treatment professional. Please ensure a copy of the referral letter and invoice(s) are attached.)

What complementary treatment did you refer this pet for?

What condition is the complementary treatment for?

If you have not attached a copy of the referral letter or the letter does not contain the following information, please tell us:

How many sessions have you recommended?

Please tell us the cost of complementary treatment

What organisation does the complementary treatment professional belong to? (Please tick)

Association of Chartered Physiotherapists in Animal Therapy

McTimoney Chiropractic Association

National Association of Veterinary Physiotherapists

Canine Hydrotherapy Association

International Association of Animal Therapists

 

Please explain how this treats the condition.

H The attending vet or a person authorised by the vet must fill in and sign this section

Please advise the cost of treatment incl. VAT

Condition 1

Condition 2

I declare to the best of my knowledge and belief, that all information provided in this claim

Practice Stamp

form is true and complete.

 

 

The fees I have charged are no more than the fees I would normally charge my clients.

Veterinary Surgeon’s Signature:

Date:

Printed Name:

 

Email address of the Veterinary Practice:

Postcode:

IMPORTANT: Please ensure that a dated and itemised breakdown of all treatment costs is attached to the claim form before you send it to us. This must state fees for consultation, prescription charge, hospitalisation, X-rays, tests/pathologies, general anaesthetic, surgery, medication and any other fees and costs must be clearly itemised for each condition.

Calls may be monitored and recorded for training purposes, to improve the quality of service and to prevent and detect fraud. Argos Limited is an introducer appointed representative of Home Retail Group Insurance Services (HIS). For Pet Insurance HIS acts as an introducer to Royal & Sun Alliance Insurance plc who arrange, administer and underwrite the policies. HIS and Royal & Sun Alliance Insurance plc are both authorised and regulated by the Financial Services Authority (FSA). Registered in England and Wales at St. Mark’s Court, Chart Way, Horsham, West Sussex, RH12 1XL.

453495 (01-12) /14255

How to Edit Argos Pet Insurance Claim Form Online for Free

You may fill out argos pet insurance claim form online instantly with our online tool for PDF editing. To make our tool better and easier to use, we constantly work on new features, considering suggestions from our users. Here is what you'll want to do to get started:

Step 1: Hit the "Get Form" button above. It is going to open up our pdf editor so that you could start completing your form.

Step 2: This tool offers the capability to work with your PDF form in various ways. Transform it with personalized text, adjust what's originally in the PDF, and include a signature - all when you need it!

As for the fields of this particular form, this is what you should know:

1. The argos pet insurance claim form online requires certain information to be entered. Make certain the subsequent blank fields are finalized:

Writing segment 1 of argos claim form

2. Right after filling in this step, go to the subsequent step and enter the necessary particulars in all these blanks - Did you contact our hour vetfone, Was your pet under your care at, Yes, Date, Yes, Date, Yes, Yes, If your pets claim is for an, D Your previous veterinary, Practice name Address, Practice name Address, Please tell us your name and, Postcode Phone number Date from to, and Postcode Phone number Date from to.

How you can fill in argos claim form part 2

3. Within this stage, have a look at a Who would you like us to pay, b How would you like to be paid, c Your signature, Policyholder VetOrganisation, Joint policyholder, There is no guarantee that we will, Payee name, Cheque For joint policy holder, Policyholder Joint policyholder, Signature, Date, Please note if we decide we cannot, Electronic payment option is only, If the condition being claimed for, and If the condition is ongoing please. Each one of these must be taken care of with highest accuracy.

Filling out part 3 of argos claim form

4. The next subsection will require your information in the subsequent areas: Please tell us the treatment dates, From, Is this claim for a continuation, Yes, If yes please advise the previous, Did the condition being claimed, Yes, The body condition score for the, Scale tick to complete Scale , From, Yes, From, Date of Death, Body Score, and If this claim is for a cruciate. Ensure that you fill in all of the required details to go forward.

Yes, Please tell us the treatment dates, and Yes inside argos claim form

Always be very mindful while completing Yes and Please tell us the treatment dates, since this is the section where many people make errors.

Step 3: Proofread everything you have entered into the form fields and hit the "Done" button. After getting a7-day free trial account with us, it will be possible to download argos pet insurance claim form online or email it promptly. The PDF file will also be easily accessible in your personal account menu with your every single edit. FormsPal is invested in the confidentiality of all our users; we ensure that all personal data entered into our system continues to be protected.

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