Pet Insurance Broker Registration

Please answer all questions accurately, as incorrect information may hold up your "Petplan Broker" application approval.

Upon registering, Petplan will require 2 to 3 working days to process the application. Prior to approval, Petplan will be in contact to discuss the Broker Administration Agreement with you. Once the agreement is signed, you will receive your personalised agent code.

If you have any questions or require further information on Petplan Broker, contact the Petplan team on 1300 738 225.

Company Name

Company Address

ABN

AFSL

Contact Name

Phone Number

Mobile

Director(s)/Person Responsible for signing the agreement

Have you got a Question?

Or would you like further information on our insurance policies?

Contact our friendly and knowledgeable team today on 1300 738 225

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Petplan Australasia Pty Ltd is the sole Administrator of the policies acting on behalf of the Insurer. Petplan® is a registered trade mark. Products sold under this trade mark in Australia are sold exclusively by Petplan under license from Pet Plan Ltd in England. The Insurer for the Petplan Australasia Pty Ltd Insurance Products is HDI Global Specialty SE -Australia (ABN 58 129 395 544, AFSL No. 458776). The advice on this website is general advice only and does not take into account your individual objectives, financial situation or needs (“your personal circumstances”). Before using this advice to decide whether to purchase the insurance policy, you should consider your personal circumstances and the relevant combined Financial Service Guide (FSG) and Product Disclosure Statement (PDS) available on this website.

Policies purchased prior to 4 April 2017 may still be underwritten by Allianz Australia Insurance Limited ABN 15 000 122 850 AFSL No. 234708. To confirm your policy underwriter, please see your Certificate of Insurance documents or contact us for more information.