Your details

If you would like to nominate another person to access your policy, please provide their details below. A nominated person can discuss, make changes, cancel, renew and make a payment on the specified policy. A nominated person cannot reinstate a policy or transfer its ownership to another person, nor can they change the payee from the policy holder.

All fields marked * are mandatory

There are some problems with your submission, please check the form below for errors and try again.

Policyholder details

Date of Birth *
If you have a number of policies with Petplan, please provide us with one of your policy numbers. We shall update your other policies accordingly.

New nominated person details

Date of Birth *
New contact effective from: *

Information you provide to us will be held in accordance with our Privacy Policy - please click to review.