Home Adoption Warranty ClaimAdoption Warranty Claim RSPCA understands that there will be some instances where a newly adopted pet will become unwell after leaving the RSPCA and settling into a new home. To assist your new companion in maintaining optimal health and wellbeing, please take time to read through your adoption pack, which contains information on nutrition and care of your new pet. Although RSPCA NSW does everything possible to avoid the presence of infectious diseases at our facilities, there are some pets that leave our care in a healthy condition and then go on to develop an infectious disease. This is very similar to the situation where people are exposed to someone with a common cold and do not develop the signs of the cold until several days later. RSPCA NSW provides a warranty for our adopted pets to cover such circumstances. The warranty applies to RSPCA NSW animals adopted through RSPCA NSW Shelters, Care Centres, Branches and affiliated Petbarn outlets, and is very specific in that it only provides assistance for infectious medical conditions that are likely to have arisen as a result of your pet being in an animal care facility prior to adoption. Click here to read the full conditions of our adoption warranty. You can see a full list of warranty affiliated veterinary providers here. If you believe you qualify for our adoption warranty, please fill out all relevant details using the form below, so we can assist you further. Adoption Warranty Veterinary Fee Claim Form PLEASE NOTE: Claims must be submitted alongside supporting documentation within 60 days of incurred veterinary fees. Your detailsName* First name Last name Email* Phone Number*Address* Street Address Address Line 2 Suburb State Postcode AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Bank detailsAccount name*Bank*BSB*Account number*Animal detailsAnimal name*Animal ID/Tag Number*Animal type*Dog or PuppyCat or KittenRabbitGuinea PigBreed*Colour*Sex*FemaleMaleUnknownApproximate weight*Age or Date of Birth*Adoption location*E.g. Petbarn Rozelle, Sydney Shelter etc.Microchip number (if applicable)Date of adoption*Date of collection (if different)Claim detailsName of treating veterinary hospital/clinic*Date of initial consultation*Address*Health issue/diagnosis*Please upload a copy of your RSPCA NSW Adoption Health Check Card* Drop files here or Maximum size 2MBPlease upload a copy of Veterinarian’s medical history including any pathology reports* Drop files here or Maximum size 2MBPlease upload a copy of Veterinarian’s itemised invoice(s) and receipt(s) confirming account is paid in full* Drop files here or Maximum size 2MBDeclarationBy entering my name in the box below I certify that the information provided in and with this form is truthful and accurate. No information likely to affect this claim has been withheld. I confirm the account submitted has been paid in full.Full Name* The RSPCA is committed to handling your personal information in accordance with the Privacy Act 1988 (Cth). You can read our Collection Notice here.