Insurance emporium vet claim form pdf

Insurance emporium vet claim form pdf

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For the fastest reimbursement, ensure the diagnosis, • Please note that the issue of this form does not constitute an acceptance of liability of this claim The Insurance Emporium reserve the right to appoint loss adjusters or • The Insurance Emporium reserve the right to appoint loss adjusters or veterinary consultants to review the claim and also to request further information from current vets How do I use my plan? Take your pet to any licensed veterinarian for diagnosis and treatment. Visit any licensed veterinarian in the U.S. or Canada, including specialists and emergency clinics. Complete ALL sections clearly and in full. Return your claim form including any relevant documentation to Date: A FULL CLINICAL HISTORY AND AN ITEMISED RECEIPT OR ACCOUNT MUST BE ENCLOSED FOR VETERINARY FEE CLAIMS. Are you completing this form for a: New illness or injury. If you need any help Missing: insurance emporium SIMPLE STEPS TO MAKE A CLAIM. Co-op Insurance Services is a trading name of Co-op Insurance Services Limited; registered in England and Wales with registration number Claim Form for Veterinary Fees. Submit a Claim Form for Veterinary Fees. If you need any help completing this form, please visit How to make a claim with The Insurance Emporium. Pay your veterinary bill in full and have an authorized vet clinic The policyholder must complete the claim form. For animal claims the veterinary practice will also need to complete a section of the form before any claim is submittedDownload the appropriate claim form. If you want to claim on your Insurance Emporium pet policy you can do so via your 'My Emporium' account on the site. We’re happy to help! If you need to request new or copy documents you can contact us here Now it’s easier than ever to manage your account, thanks to My Emporium! All you need to do is download the claims form and send it via the following methods: Email: [email protected] Fax Here you can check your policy documents, update your details, download claim forms and more Claims@ For your protection, insurance laws require the following to appear on this form: Any person who knowingly presents a false or Missing: insurance emporium CLAIM FORM. Please complete the form below with all necessary information and include all relevant invoices for this claim. Complete ALL sections clearly and in full. Are you completing this form for a: New illness or injury. Ensure that you have filled in your claim form correctly and truthfully completed all sections. We’re happy to help! Pay the veterinarian directly for services.