Forms

Specific applications are required for coverage.

Please contact our office regarding which company best fits your need. Rate vary between breed and use.

The following applications are available for electronic signature (e-sign) via Adobe Sign, or you can choose to download/print the forms.

EQUINE

Type	Purpose
Colic Statement Form	To be completed when requesting the removal or prevention of a colic exclusion.	e-sign	download/print
Equine Mortality Application	Required for all new equine mortality coverage. To be completed by the policy holder.	e-sign	download/print
Justification of Value	Required at renewal for all horses and increases in coverage.	e-sign	download/print
Mortality Renewal Application	Required for all new equine mortality coverage. To be completed by the policy holder.	e-sign	download/print
Statement of Condition	Required for policy renewals and increase in coverage. To be completed by the policy holder.	e-sign	download/print
Veterinary Form	Required for horses being insured in excess of $100,000.	e-sign	download/print

FARM

Type	Purpose
Care, Custody or Control Liability Insurance Application	Required for all new equine farm coverage. To be completed by the policy holder.	e-sign	download/print
Equine Farm Application	Required for all new equine farm coverage. To be completed by the policy holder.	e-sign	download/print
Farm Renewal Application	Required for all new equine farm coverage. To be completed by the policy holder.	e-sign	download/print

LIABILITY

Type	Purpose
Care, Custody or Control Liability Insurance Application	Required for all new equine farm coverage. To be completed by the policy holder.	e-sign	download/print
Equine Liability Application	Required for all new equine liability coverage. To be completed by the policy holder.	e-sign	download/print
Farm Renewal Application	Required for all new equine farm coverage. To be completed by the policy holder.	e-sign	download/print
Individual Horse Owner’s Liability Application	Required for all new Individual Horse Owner’s liability coverage. To be completed by policy holder.	e-sign	download/print
Individual Horse Owner’s Liability Application (OH & CO)	Required for all new Individual Horse Owner’s liability coverage in Ohio & Colorado. To be completed by policy holder.	e-sign	download/print
Non-Profit Organization Liability Insurance Application	Required for all new non-profit organization liability coverage. To be completed by President or Executive Director.	e-sign	download/print

ORGANIZATION & EVENT

Type	Purpose
Equine Event Application	Required for all new equine event coverage. To be completed by the policy holder.	e-sign	download/print
Incident Report	Submit an Incident Report form.	e-sign	download/print
Non-Profit Organization Liability Insurance Application	Required for all new non-profit organization liability coverage. To be completed by President or Executive Director.	e-sign	download/print

LIVESTOCK

Type	Purpose
Livestock Mortality Insurance Coverage Application	Required for all new livestock coverage. To be completed by the policy holder.	e-sign	download/print