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Get Ontario SPCA Claim Form

Act can result in denial of the claim. I declare that diagnosis and particulars given in Section 2 in regards to the treatment of this pet are correct to the best of my knowledge and belief. I agree to provide information that the company may require to verify a claim. I understand that any misrepresentation or omission of any material fact can result in denial of the claim. Signature of Policyholder Signature of Veterinarian Date: Print Veterinarian Name: MM DD YY Date: MM Please submi.

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