Knowledge Base

Your First Name*

Your Last Name*

Email Address*

Street Address*

ex. 123 W. Dogwalk Lane, Los Angeles, CA 90009

Pet's Name, Species, and Breed*

i.e. Bella, Dog, Golden Retriever

Date of Service*

Name, phone, and address of Service Provider*

What type of service was completed?*

Select all that apply.

Physical / Wellness Exam

Annual vaccinations / boosters

Wellness Blood Panel / Diagnostic Blood Testing

Deworming

Fecal Testing

Urinalysis

Anal Gland Expression

Were multiple services completed on one bill? *

Yes

No

Amount to be Reimbursed*

Please use numerals and decimals only, i.e. 1021.17

Paypal Account Handle*

i.e. @janedoe123

Please attach any relevant files including receipts and/or records. (10 files max, total file size must be less than 50MB)

Select File

Wag! Wellness Reimbursement