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If you don't see a form or application that you are in need of please contact our office.

Forms & Applications

Forms and applications for Insuring your Horse(s)

Mortality Insurance Application - American Reliable Insurance Company:
To be completed by the applicant.


Mortality Insurance Application - The Hartford Insurance Company:
To be completed by the applicant.

Mortality Insurance Application - XL Specialty Insurance Company:

To be completed by the applicant.  XL Application

Justification of Value:
For all horses when the insured value requested for the mortality coverage is higher than the horse’s original purchase price. Also required for homebred horses. To be completed by the applicant.

Veterinary Certificate:
A veterinary certificate is required for all horses valued over certain values (depending on the company) and/or horses that have been treated for a significant accident, illness or disease in the last twelve months. Also for horses under 30-days to 6 months (depending on the insurance company) and over 15 or 16 years of age (also, depending on the company). One may also be required by some companies if the insured has not owned or at least known the horse for at least 30 days. The form needs to be completed by a licensed veterinarian no more than 20 days prior to the inception of coverage.

Vet Certificate-American Reliable

Vet Certificate-The Hartford

Vet Certificate-XLCatlin


Forms and applications for insuring your Equestrian business

Equestrian Commercial General Liability
Commercial Stableowners General Liability Application

Equestrian Care, Custody & Control Application:
CCC Application

Private Horse Owner's Liability (PHO):

Horse Show Coverage Application:
Horse Show Application

Riding Clubs and Associations Application:
Riding Clubs & Associations Application


*Note: All forms are Adobe Acrobat(pdf) files, to download a free Acrobat reader, click here

All information on this website is for basic informational purposes only, and does not constitute advice or any guarantee of coverage from Broadstone Equine Insurance Agency. Contact our office directly at 888-687-8555 or info@BroadstoneEquine.com to speak with an agent for complete and current information regarding all coverages.