Please enter your Adoptsecure information here. You can add multiple pets for a customer.

Customer Info

  1.  Mr.
     Ms.
     Mrs.
     Miss
  2.  Mr.
     Ms.
     Mrs.
     Miss
  3. - -
  4. - -
  5. - - x
  6.  Email
     Regular Mail
  7.  English
     French
  8.  Yes
     No

Shelter Information

  1. If you are an adoption facility and you want to activate a trial policy, please visit the Petsecure Shelter Portal at www.adoptsecure.ca/portal and log in with your username and password. Should you need assistance obtaining this information then please email benefits@petsecure.com or call 1-800-431-3132 ext 7309. If you are a client, please contact our Customer Care Centre at 1-800-268-1169 for assistance.

Pet Info

  1.  Cat
     Dog
  2. - - (yyyy-mm-dd)
  3.  Male
     Female

Add another pet