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When it comes to ensuring the health and well-being of your beloved pet, understanding the Tesco Pet Insurance claim form is crucial. This form serves as a vital step in the process of submitting a claim when your pet needs medical attention. It requires key information, beginning with your details as the policyholder, including your name, address, and contact information. You’ll also need to specify whether you're filing a claim for a new condition or for continued treatment of an ongoing issue. Your pet’s particulars, like name, breed, and medical history, form the next essential section. Critical details about the pet's condition—such as the timeline of symptoms and any prior veterinary practices—must also be provided to facilitate a swift review. Don't forget to include your vet’s insights about your pet’s diagnosis and treatment costs. With options for submitting via email or post, it’s designed to be convenient, yet attention to detail is necessary. Missing information can lead to delays, so it's important to be thorough. This guide will walk you through each aspect of the form, ensuring you’re equipped with all the necessary tips for a successful claim experience.

Tesco Pet Insurance Example

Pet Insurance

Claim Form

tesco.petclaims@uk.rsagroup.com

Once you and your vet have completed the form, the quickest way to get it to us is simply email it to the address above with the supporting documents. Alternatively you can send it by post to: Tesco Pet Insurance, Freepost - RSJG-ZJTB-GAGH, PO Box 1363, Peterborough, PE2 2QZ. Our Claims Helpline is 0345 078 3860.

A. About you (the Policyholder)

If your name or address has changed, please tick

(Please note that changes to your address may affect your premium)

Your name, address and postcode

Daytime tel

Mobile tel

Email

Please ensure you provide us with your mobile number and email address so that we can keep you informed of the progress of your claim.

Policy number (must be completed)

IMPORTANT INFORMATION – PLEASE READ

Is this claim for a:

New Condition

Please complete all sections

Continuation Condition

Please complete sections A, B & E

If this claim is for a new condition please ensure that the pet’s full medical history from all the vets that your pet has been registered with is submitted with the claim form.

If this claim is for continuation condition then please ensure that the medical history since the last claimed date of treatment is submitted with the claim form.

PLEASE NOTE THAT IF ANY SECTION OF THE CLAIM FORM IS NOT FILLED IN, OR THE SUPPORTING INFORMATION IS NOT SUBMITTED, THIS WILL DELAY YOUR CLAIM.

if you are claiming for continuation treatment you can batch your invoices up but you must submit your claims every 3-6 months.

Your policy does not cover:

Any condition, illness or physical abnormality that exists before the policy started

Any accident that happened within the first 5 days after the policy start date (ACCIDENT & INJURY COVER ONLY)

Any condition that started within the first 14 days after the policy start date

B. About your pet

Pets Name*

How long have you owned the pet?

Cat

 

 

 

Dog

 

 

 

 

 

 

 

Male

 

 

 

Female

 

 

 

 

 

 

 

Breed

 

 

 

 

 

 

 

 

 

 

 

 

Date of birth

DD/MM/YYYY

 

 

Your pet’s microchip number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*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.

C. About your pet’s condition

Please tell us when you noticed your pet was unwell or injured. If your pet has had the same or similar changes in health we require the first date.

A description of the changes to your pet’s health that you noted.

Did you contact our 24 hour vetfone service for advice on your pet’s condition before seeing your vet? Please call 0800 1974949 if required in the future.

Condition 1

Time and date HH:MM DD/MM/YYYY

Yes

 

No

 

 

Date

DD/MM/YYYY

Condition 2

Time and date HH:MM DD/MM/YYYY

Yes

 

No

 

 

Date

DD/MM/YYYY

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

 

No

 

 

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

 

 

 

 

 

 

 

 

 

 

 

 

If your claim is for an injury, do you believe that another person was at fault? If so, please provide details separately

Yes

 

No

D. Your previous veterinary practices (Please tell us the vet(s) details where your pet was previously registered)

Practice name

Address

Postcode

Phone number

Date: from DD/MM/YYYY to DD/MM/YYYY

Practice name

Address

Postcode

Phone number

Date: from DD/MM/YYYY to DD/MM/YYYY

Please tell us your name and address at that time, if it was different to the name and address in Section A.

Postcode

E. Your Declaration, who to pay and Data Protection notice (Please complete boxes a & b below 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 Tesco Bank 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 Tesco Bank Pet Insurance in connection with managing and handling claims. Please ensure you provide us with your mobile number and email address so that we can keep you informed of the progress of your claim.

a. YOUR DECLARATION. By ticking the following box, I confirm that I agree with the above statement:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I am the Policyholder:

 

 

I am the Joint policyholder:

 

 

 

 

 

 

My name is

 

 

 

 

 

 

 

Dated

DD/MM/YYYY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b. WHO WOULD YOU LIKE US TO PAY: Policyholder:

 

Joint policyholder:

 

 

 

Vet/Organisation:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c. PAYMENT METHOD: If you pay your premium by Direct Debit we will automatically pay any settlement into that account by electronic transfer. If Direct Debit is not used please ensure that you provide us with your contact details in Section A above, in the event we have to contact you to agree an alternative payment method.

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

IF ANY REQUIRED INFORMATION IS NOT RECEIVED THEN THERE WILL BE A DELAY TO YOUR CLAIM.

If the condition being claimed for is new please enclose a full medical history for the pet. If the condition is ongoing please enclose the medical history since the last claim.

F. The vet must fill in this section about each condition

Please advise when the pet was registered at your practice Date DD/MM/YYYY

If this pet was referred to you, please advise the name and address of the registered vet which referred it, and submit the referral letter/report with this claim.

Postcode

 

 

 

 

 

 

Please advise if you are a member of the RSA preferred

 

 

 

No

 

 

referral network

Yes

 

 

 

 

 

 

 

 

 

 

If any part of this claim is for dental treatments please tell us the date prior to the claimed problem being noted that the pet had its teeth checked, and if treatment was recommended at this check up was this carried out?

 

 

Treatment recommended Yes

 

No

 

Date

DD/MM/YYYY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Treatment was carried out Yes

 

No

 

 

 

 

 

 

 

If a house call was made, you must confirm below why it was absolutely essential.

If the pet was seen out of hours please confirm why this was and whether the treatment could have waited until normal surgery hours.

Condition 1

Condition 2

What is the diagnosis of the condition (if no diagnosis has been made please provide the main clinical signs).

Please tell us the treatment dates for this claim

Is this claim for a continuation of treatment?

If yes, please advise the previous dates of treatment.

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

From

DD/MM/YYYY

 

 

 

Yes

 

 

 

 

From

DD/MM/YYYY

 

 

 

Yes

 

 

 

 

 

Date of death

To

DD/MM/YYYY

 

 

 

No

 

 

 

 

To

DD/MM/YYYY

No

DD/MM/YYYY

From

DD/MM/YYYY

 

 

 

Yes

 

 

 

 

From

DD/MM/YYYY

 

 

 

Yes

 

 

 

 

 

Date of death

To

DD/MM/YYYY

 

 

 

 

 

No

 

 

 

 

 

 

To

DD/MM/YYYY

 

No

DD/MM/YYYY

Please tell us the date that the clinical signs

Date

DD/MM/YYYY

 

 

were first noticed (as noted on your clinical records).

 

 

 

 

 

 

 

 

 

Has this pet had this condition or clinical signs before,

 

 

 

Yes

 

No

 

 

 

 

or any related condition or clinical signs before?

 

 

 

 

 

 

 

 

 

 

 

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

The body condition score for the pet.

Scale 1-5 please add the score in the box

 

 

 

 

Date DD/MM/YYYY

 

Yes

 

No

 

 

 

 

Scale 1-9 please add the score in the box

If this claim is for a cruciate rupture, is this solely the result of a trauma

 

or is there any breed predisposition, underlying disease or conformational issue?

 

 

 

 

 

G. The attending vet or a person authorised by the vet must fill in 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 form is true and complete. The fees I have charged are no more than the fees I would normally charge my clients.

Name:

Position in the Practice:

Practice Address:

Postcode:

Email Address:

Phone Number:

Date: DD/MM/YYYY

 

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.

IF ANY REQUIRED INFORMATION IS NOT RECEIVED THEN THERE WILL BE A DELAY IN PROCESSING THE CLAIM.

Tesco Bank Pet Insurance is arranged, administered and underwritten by Royal & Sun Alliance Insurance Ltd. Registered in England and Wales (No. 93792) at St. Mark’s Court, Chart Way, Horsham, West Sussex, RH12 1XL. Authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. Tesco Personal Finance plc. Registered in Scotland, registration no. SC173199. Registered office: 2 South Gyle Crescent, Edinburgh EH12 9FQ. Authorised by the Prudential Regulation Authority

and regulated by the Financial Conduct Authority and the Prudential Regulation Authority.

453340N (06-21)

Please note there can always be a risk in sending personal information via email.

 

Form Characteristics

Fact Name Details
Email Submission You can submit the Tesco Pet Insurance Claim Form via email to tesco.petclaims@uk.rsagroup.com, along with the supporting documents for faster processing.
Postal Submission If you prefer, you can send the claim form and supporting documents by post to Tesco Pet Insurance, Freepost - RSJG-ZJTB-GAGH, PO Box 1363, Peterborough, PE2 2QZ.
Claims Helpline The dedicated Claims Helpline is available at 0345 078 3860 for any inquiries related to your claim.
Governing Law Tesco Bank Pet Insurance is regulated by the Financial Conduct Authority and the Prudential Regulation Authority in the UK.

Guidelines on Utilizing Tesco Pet Insurance

After you have filled out the Tesco Pet Insurance form, you will need to submit it to ensure your claim is processed promptly. Ensure that you have included all necessary documentation required for your claim, as incomplete submissions may lead to delays.

  1. Gather your documents: Before filling out the form, collect relevant information such as your pet’s medical history, invoices, and any additional documentation.
  2. Complete the About You Section: Fill in your name, address, daytime telephone number, mobile number, and email address. Check the box if your details have changed.
  3. Provide your Policy Number: Input your policy number as required in the form.
  4. Identify the Type of Condition: Specify whether this claim is for a new condition or a continuation of previous treatment.
  5. Fill in Details About Your Pet: Provide your pet's name, breed, date of birth, microchip number, and how long you have owned them.
  6. Describe Your Pet's Condition: Indicate when you first noticed signs of illness or injury, and provide a description of noted changes in health.
  7. List Previous Veterinary Practices: Include the names, addresses, and contact details of any previous veterinary practices your pet has attended.
  8. Declaration Section: Read and confirm your agreement with the statements provided. Choose who you would like Tesco to pay and specify the payment method.
  9. Vet's Information: Ensure your vet completes the necessary section regarding their diagnosis and treatment provided.
  10. Attach Supporting Documents: Enclose all relevant documents, including invoices, medical history, and referral letters.
  11. Submit the Form: Email the completed form and accompanying documents to tesco.petclaims@uk.rsagroup.com, or send by post to Tesco Pet Insurance, Freepost - RSJG-ZJTB-GAGH, PO Box 1363, Peterborough, PE2 2QZ.
  12. Contact for Assistance: If you have questions, contact the Claims Helpline at 0345 078 3860.

What You Should Know About This Form

How can I submit the Tesco Pet Insurance claim form?

You can submit the claim form either electronically or by post. If you choose to email your claim, complete the form along with any supporting documents and send it to tesco.petclaims@uk.rsagroup.com. Alternatively, you can send it via post to Tesco Pet Insurance, Freepost - RSJG-ZJTB-GAGH, PO Box 1363, Peterborough, PE2 2QZ.

What should I include in the claim form?

The claim form must include your personal details, your pet's information, details about the condition being claimed for, and a declaration. If you are claiming for a new condition, provide the full medical history from all vets your pet has seen. For continuation claims, submit the medical history since the last claim date.

What happens if I don’t complete all sections of the claim form?

Failure to complete any sections of the claim form or to provide the necessary supporting documents will result in delays to your claim. Be sure to fill out every required field accurately to facilitate prompt processing.

What should I do if my pet has had similar health issues in the past?

If your pet has experienced similar health changes, include the earliest date you noticed these issues within the condition section of the claim form. Full medical histories will also be required to support the claim.

Can I claim for conditions that existed before my policy started?

Claims will not be covered for any condition, illness, or physical abnormality that existed before your policy started. Additionally, accidents that occurred within the first five days of the policy and any condition that started within the first 14 days are also excluded.

What should I do if I have more than one pet insured with Tesco?

If you have multiple pets insured under Tesco Pet Insurance, each pet requires a separate claim form. Ensure that you clearly indicate the correct pet's name on each form to avoid any confusion.

How is the payment handled for my claim?

If you pay your premium via Direct Debit, any claims settlement will automatically be paid into that account through electronic transfer. If your payment method differs, provide your contact details in the claim form, so Tesco can reach you if alternative payment arrangements are needed.

What kind of documentation is required for the vet?

Your vet must provide a dated and itemized breakdown of treatment costs along with the claim form. This documentation is crucial as it supports your claim and ensures accurate processing. Failure to include this may result in delays.

Common mistakes

Filling out the Tesco Pet Insurance claim form can be straightforward, but several common mistakes can lead to delays or complications in processing the claim. One frequent error is not providing complete contact information in the "About you" section. Specifically, if you fail to include both your mobile phone number and email address, it may hinder the company’s ability to keep you updated on your claim status.

Another common mistake involves neglecting to select the right claim type at the beginning. Claimants must indicate if the claim is for a "New Condition" or a "Continuation Condition." If this step is bypassed or incorrectly marked, it could lead to confusion and delay your claim processing. Clearly filling out this section helps the claims team understand how to proceed.

When it comes to your pet’s details, many people mistakenly provide incorrect or incomplete information regarding their pet's medical history. This often includes failing to submit the required medical history from all vets your pet has visited for a new condition claim. Claims submitted without comprehensive medical records can be delayed or even denied.

Another typical oversight is related to the veterinary practice information. If you have changed veterinarians and do not formally notify Tesco, it might slow down the processing of your claim. Ensure that you accurately fill in the details for your current and previous vets, including their addresses and contact numbers.

Additionally, not including a dated, itemized breakdown of the treatment costs can lead to a significant delay. This essential information must be attached to the claim form. Without it, Tesco may not have sufficient details to move forward with the claim, causing unnecessary holdups.

Finally, policyholders often overlook the importance of signing and dating the declaration section at the end of the form. This step symbolizes that you agree with the provided information and takes responsibility for its accuracy. Failing to do this can result in automatic rejection of the claim.

Documents used along the form

When submitting a claim for Tesco Pet Insurance, there are several other important forms and documents you may need to include. These documents help ensure your claim is processed smoothly and efficiently. Here is a list of commonly used documents alongside the Tesco Pet Insurance Claim Form:

  • Veterinary Treatment Records: This document provides a detailed history of your pet's medical treatment. It should include all relevant medical information, dates of visits, and diagnoses from any veterinary practices your pet has been to. This is essential for new conditions or ongoing treatments.
  • Invoice from the Veterinary Practice: A detailed invoice must outline all services provided, costs incurred, and any medications prescribed. Ensure that this document is itemized to facilitate clear understanding and verification of your claim.
  • Referral Letter (if applicable): If your pet has been referred to a specialist, the referral letter must be included. This document provides context and details about why the referral was necessary for your pet's care.
  • Proof of Payment: You should submit any receipts or proof of payment made to the veterinary practice to show that charges have been settled. This helps in confirming costs associated with the treatment.
  • Consent Form: A signed consent form may be necessary to allow Tesco Bank Pet Insurance access to your pet's medical records from your veterinary practice. This ensures that your insurance provider can obtain the necessary information directly from your vet.

Gathering these documents will help streamline the claims process. By providing all required information upfront, you will reduce the likelihood of delays and ensure that your pet receives the care they need while you navigate your claim.

Similar forms

  • Health Insurance Claim Form: This document requires details about the policyholder, the individual receiving treatment, and their medical conditions. Similar to the Pet Insurance form, accuracy and completeness of information are critical to avoid delays in processing claims.
  • Auto Insurance Claim Form: Like the Pet Insurance form, this document asks for details about the incident leading to the claim, as well as information about any previous claims. It emphasizes providing supporting documents to validate loss or damage.
  • Homeowner's Insurance Claim Form: This form collects information about the policyholder and details regarding property damage. It shares the necessity for thorough explanations and supporting evidence, much like the requirements in the Pet Insurance form.
  • Travel Insurance Claim Form: This document requires specifics regarding the nature of the claim, such as trip cancellations or medical emergencies. The structure parallels the Pet Insurance claim, with emphasis on thorough documentation and timely submission.
  • Life Insurance Claim Form: Both forms require significant personal information and documentation to process claims. For life insurance, the emphasis is on the insured's death and any circumstantial details, similar to how pet health details are handled for claims.
  • Disability Insurance Claim Form: This document captures information about the claimant's medical condition and daily limitations. Like the Pet Insurance form, it insists on detailed medical histories to justify the claim.
  • Workers' Compensation Claim Form: This form requests information about the employee, the injury sustained, and the circumstances surrounding the incident. It mirrors the structure of the Pet Insurance form by requiring detailed narratives and supporting documents to ensure proper processing.

Dos and Don'ts

When filling out the Tesco Pet Insurance form, keep these tips in mind:

  • Do: Provide accurate information about yourself and your pet.
  • Do: Submit all required medical history documents with the claim form.
  • Do: Include your mobile number and email to receive updates on your claim.
  • Do: Ensure that the correct condition and dates are filled in clearly.
  • Don’t: Skip any sections of the form; incomplete forms can delay your claim.
  • Don’t: Provide a claim for a pre-existing condition, as it will not be covered.
  • Don’t: Forget to keep a copy of the claim form for your records.

Following these guidelines can help ensure that the claims process runs smoothly.

Misconceptions

The following misconceptions about the Tesco Pet Insurance Claim Form may lead to confusion. This list aims to clarify these points for better understanding.

  • Claim Forms Can Be Sent Without Support Documents: It is necessary to include all required supporting documents. Missing information will delay claims.
  • Emailing the Form is Not Allowed: The claim form can be conveniently emailed to the specified address, alongside any supporting documents.
  • Only One Claim Form is Needed for Multiple Pets: Each pet requires an individual claim form to ensure proper processing.
  • Submitting Claims is Optional: You must submit claims regularly for ongoing conditions every 3-6 months. Failing to do so may complicate the process.
  • The Vet's Information is Unimportant: The vet must complete relevant sections of the form to avoid delays in claim processing.
  • Sending the Form by Post is the Only Option: While posting is available, emailing the form is the quickest method of submission.
  • Claims for Pre-Existing Conditions Can Be Submitted: Claims related to conditions that existed before the policy's start date are not covered.
  • Incomplete Forms Will Be Processed Anyway: All sections of the form must be completed fully. Incomplete forms will result in delays.

Understanding these misconceptions can streamline the claim process and improve communication between policyholders and the insurance provider.

Key takeaways

When filling out the Tesco Pet Insurance claim form, keep the following key points in mind:

  • Email Submission: After completing the form with your vet, the quickest way to submit it is by emailing it to tesco.petclaims@uk.rsagroup.com.
  • Postal Submission: If you prefer to send it by post, address it to Tesco Pet Insurance, Freepost - RSJG-ZJTB-GAGH, PO Box 1363, Peterborough, PE2 2QZ.
  • Claims Helpline: For assistance, contact the Claims Helpline at 0345 078 3860.
  • Policyholder Information: Ensure accurate details in Section A, including name, address, and contact information.
  • Condition Type: Specify whether your claim is for a new or continuation condition, and fill out the respective sections accordingly.
  • Medical History: If claiming for a new condition, include your pet's full medical history. For a continuation condition, submit medical history since the last claim date.
  • Missing Information: Incomplete forms or missing documents will delay the processing of your claim.
  • Claims Timing: For continuation claims, submit invoices every 3-6 months to avoid complications.
  • Direct Debit Payments: If you pay via Direct Debit, settlements will be paid into that account automatically.
  • Vet Section: Make sure your vet completes the necessary sections about your pet’s condition, including a detailed breakdown of treatment costs.

By following these guidelines, you can ensure your claim submission process goes as smoothly as possible.