Pet Insurance Quote Form
A pet insurance quote form is mostly breed and age. Those two determine the premium almost entirely, and the third question - pre-existing conditions - determines whether cover is possible at all.
For brokers, agents and insurance teams.
Pre-existing conditions decide the conversation
Almost every disappointed pet insurance customer is one who assumed an existing condition would be covered. It never is, and finding out at the first claim is the worst possible moment.
So this template asks directly, with a note explaining the exclusion in plain words rather than in policy language. It also asks about lifetime versus annual cover, because that's the distinction people understand least and regret most - a chronic condition diagnosed under an annual policy stops being covered at renewal.
Fewer calls, better numbers
A phone call is a fine way to build trust and a terrible way to collect specifications - nobody remembers everything, and nothing is written down. Collect the facts in writing first, and use the call for the part that actually needs a human.
You'll also stop quoting jobs you didn't want: when the form asks about budget and timing, the mismatches disqualify themselves.
Enough detail to quote, not enough to be a nuisance
Quoting needs specifics - cover type, value, dates, claims history - and every extra question loses people. The answer is to ask the ones that change the premium and nothing else, in one short pass.
Claims and renewals work the same way: ask the facts that let you act, keep it short enough that a stressed client finishes it, and have it in writing from the start.
Price the right jobs
Every quote costs you time whether or not you win it. Asking about budget and timing up front isn't rude - it's how both sides avoid a week of conversation about a job that was never going to happen.
Yours to change, immediately
Nothing here is fixed. Rewrite a question, reorder them by dragging, add your brand colour, delete half of it. Save and the live form updates - there's no separate publish step and no deploy to wait for.
What this template asks
- Your name
- Email address
- Phone number
- Postcode
- What kind of pet?
- Pet's name
- Breed
- Age
- Sex
- Neutered or spayed
- Microchipped
- Purchase price, if known
- Does your pet have any existing or previous conditions?
- Tell us about them
- Vaccinations up to date?
- Has your pet had dental treatment?
- Any history of aggression or biting?
- What kind of cover?
- Vet fee limit you'd like
- Anything else?
- When would you like cover to start?
More Insurance forms
Questions
Should we ask for breed or crossbreed?
Both - ask for breed and offer a crossbreed option with a description. Crossbreeds often rate differently, and a customer's own description is more useful than forcing a choice.
How do we handle older pets?
Ask the age and be honest about availability. Many insurers won't start new cover past a certain age, and saying so on the first reply is kinder than a decline after a quote.
Can I ask for photos or files?
Not yet - uploads are on the roadmap. In the meantime, most people ask for a link to photos, or reply to the response with an email asking for them. Everything else about the job is captured here.
Can I see where each quote request came from?
Yes. Add a hidden tracking parameter to the link (for example one link on your site and another on your Google profile) and it's stored with the response.
How fast can I put this live?
About a minute. Pick the template, change the wording, press save - saving is publishing - and you get a link to share.
Is it suitable for claims information?
For dates, descriptions and contact details, yes, and the timestamped record is useful. Don't collect full bank details or identity documents through a web form; ask for those through a channel designed for it.
Publish your pet insurance quote form today
Start from this template and change anything you like. Free to begin.