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Pet insurance questionnaire

Your pet's study, in five minutes.

Answer what applies to you: only your contact details are required. Several pets? Tell us, we combine them in a single study.

Fill it in online (5 min) Download the PDF
Pet insurance questionnaire, ASSUDIRE
5 stepsabout 5 minutes
Step 1 of 5 · Youabout 5 min left

* Only your contact details are required

1. You
You1 / 5

The policyholder.

Why? Your contact details are used to call you back and to draw up the study in your name.

Title
Marital status
Status
2. Your pet
Your pet2 / 5

The one you want to insure.

Why? Species, breed and age set the premium and any exclusions.

Species
Sex
Neutered
Category 1 or 2 dog (restricted breed)
Pet living in France
3. Health and insurance
Health and insurance3 / 5

The pet's veterinary history.

Why? A condition already known is often excluded: better to know before choosing.

Vaccinations up to date
Already insured
€ / month
4. Your needs
Your needs4 / 5

Why? So we compare like with like and you never pay for cover you do not need.

Cover wanted
Cover wanted
Reimbursement rate
€
Start date wanted
€ / month
5. Documents to attach
Documents to attach5 / 5

Photos or scans are fine.

Why? With these documents, the quote becomes a firm proposal.

See pet insurance (in French)

Reply within 24 working hours · No obligation · You receive a copy of your request

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