Private Horse Owner Liability Quote

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Private Horse Owner Insurance Quote

Group Benefits Insurance Quote

Get a Group Benefits Quote

Complete the details below to get your free Private Horse Owner Liability Insurance Quote

Applicant Details

* Indicates required field

When would you like this policy to start? *

Type of Ownership *

Individual Corporation Trust Organization Joint Ventre Partnership Limited Liability Company

If applicant shows multiple individual names, what is the relationship of the applicant(s): *

Husband/Wfe Parent/Child Siblings Other

Are there any other operations conducted on owned/rented facility? *

Yes No

Names of corporate partners/officers: *

Does applicant own or use carts or buggies with their horses? *

Yes No

If yes, how many: *

Carts are used for: *

pleasure pulling show racing other

Are you a member of: *

AHA ARIA AQHA APHA NRCHA NRHA USDF USEF USHJA None Other

Do any applicant’s horses have any evidence of behavioral vices or habits? *

Yes No

Would applicant like coverage for horses that travel outside the U.S.? (Additional premium will apply) *

Yes No

If yes, list the countries applicant would like covered: *

Where are applicant’s horses boarded: *

owned premises rented premises racetrack training/boarding facility other

Describe experience with horses: *

Is your primary residence: *

Owned Rented

Prior 3 Year Property & Liability Insurance Information

Must be completed in full in order to receive a quote. Including homeowners, renters and business owners’ policies.

Company *

Company *

Company *

Effective Dates *

Effective Dates *

Effective Dates *

Premium *

Premium *

Premium *

No. of Claims *

No. of Claims *

No. of Claims *

Amount Paid *

Amount Paid *

Amount Paid *

Has applicant been canceled or refused coverage in the last 5 years? *

Yes No

Has the applicant ever filed for bankruptcy or had a foreclosure? *

Yes No

Explain losses/incidents within the past 5 years with dates and details of loss, including amount paid, in box below *

None

Comment *

Horses Owned / Leased by Applicant

Total Number of Owned/Leased Horses: *

Name of Horse *

Breed *

% of Ownership *

Horse Age *

Gender *

Male Female

Use *

Name of Horse *

Breed *

% of Ownership *

Horse Age *

Gender *

Male Female

Use *

Name of Horse *

Breed *

% of Ownership *

Horse Age *

Gender *

Male Female

Use *

Name of Horse *

Breed *

% of Ownership *

Horse Age *

Gender *

Male Female

Use *

Name of Horse *

Breed *

% of Ownership *

Horse Age *

Gender *

Male Female

Use *

Name of Horse *

Breed *

% of Ownership *

Horse Age *

Gender *

Male Female

Use *

Name of Horse *

Breed *

% of Ownership *

Horse Age *

Gender *

Male Female

Use *

Name of Horse *

Breed *

% of Ownership *

Horse Age *

Gender *

Male Female

Use *

Name of Horse *

Breed *

% of Ownership *

Horse Age *

Gender *

Male Female

Use *

Name of Horse *

Breed *

% of Ownership *

Horse Age *

Gender *

Male Female

Use *

Are you interested in mortality coverage for the horses? *

Yes No

Check One Occurrence / Aggregate Limit: *

$300,000 Occ / $900,000 Agg $500,000 Occ / $1,500,000 Agg $1,000,000 Occ/ $3,000,000 Agg

Applicant Information

Owner Name *

First

Last

Please enter your first and last name

Date of Birth *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Please enter the mailing address for your group.

Email *

Please enter the best email address we can use to send your insurance quote.

Phone Number *

Please enter the best phone number to reach out for any questions about your insurance quote.

How did you find us? *

If Referred/Other, please add detail: *

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(561) 768-8176

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(713) 487-5538

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