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FAST-TRACK

Fast-Track Application

Fast-Track allows you to get help immediately and submit a Behavior Claim after activating your membership.

This short form gives us the information needed to determine whether Fast-Track is the right option for your dog.

It only takes a few minutes to complete.

Back to Coverage Plans

Welcome to Canine Coverage!

We're here with you every step of the way. This short form simply collects your info to set up your membership profile when you activate Canine Coverage™.

This process only takes about 5 minutes.

Canine Coverage Application

Your Info

Today's Date * required

Your name

E-mail

Phone Number

Address

Dog's Info

Dog's name

Age

Breed

Sex

Add a photo of your dog

Behavior Overview

Does your dog have any current behavior problems? *

Yes, a minor issue

Yes, a major issue

Has your dog ever bitten, or attempted to bite, another person or dog? *

Yes

Which best describes their behavior problems, if any? * Required

Human aggression

Dog aggression

Reactivity

Fearful/shutdown

Anxiety

Destructive behavior

Other

If "Other", please explain:

Please describe, in detail, your dog's behavior issues (if applicable):

Has your dog ever worked with a trainer before?

Is there anything else you'd like us to know?

Upload Evidence

Put photo or video evidence of the behavior problem here.

Upload Files

Review & Confirm

Before we build your profile, please confirm the following:

I understand that coverage only begins after I activate my membership and complete the waiting period.

I understand that Canine Coverage provides access to behavior support and training through approved Behavior Claims and is not an emergency veterinary or crisis response service.

I understand that any current behavior concerns disclosed in this form are considered "pre-existing" and are not eligible for coverage.

I certify that the information I provided is accurate to the best of my knowledge.