Form PRE-APPROVAL

(All claims in terms of 1.1.2 that are not pre-authorised
will carry an additional excess of 20%,
with a minimum of R500, for each claim not pre-authorised.)

PetHealthcare.co.za brokers are G Van Cuyck Insurance Consultants FSP No 12925

PawPaw is administered by P.UMA on behalf of Renasa Insurance Company.
Insurer: Renasa Insurance Company Ltd FSP No. 15491. Underwriting Manager: Pet Underwriting Managing Agency FSP No. 44387

PAWPAW POLIDY NUMBER

If you have your policy details, this will help admin.

Pet Name

Pet Owner Name:*

First NameLast Name

Phone Number

Area CodePhone Number

E-mail Address:*

Name of Vet Practice

Vet Practice Phone Number

Area CodePhone Number

Estimated Cost of Treatment

Condition to be Treated:

Please Upload your Detailed Quotation:

Upload Quote Document