I, {petOwner} understand that I am fully bound by my conscience in making this statement and that any misrepresentation of the facts constitutes fraud. I have no other insurance on the pet claimed for the above. I hereby agree that the Insurers of the Policy may take over and conduct this prosecution for their own benefit of any claim for cover or otherwise and shall have full discretion in the conduct thereof.
Please send completed forms including copies of all receipts by clicking the button below, or to P.UMA (Pet Underwriting Managing Agency (Pty) Ltd Email address claims@p-uma.co.za or call 021 403 9177