Horse Insurance Forms and Applications for Mortality and Medical/Surgical Coverages

The Hartford Horse Insurance Application - To be completed by the applicant: HartfordApplication.pdf

American Reliable Insurance Co. Horse Insurance Application - To be completed by the applicant: AR Application

American Reliable Major Medical Program Highlights

American Equine Insurance Group (AEIG)/Argonaut Application - AEIG requires both an 1) Application and 2) Fraud Form to be completed by the applicant:

AEIG Application for All states except FL AEIG Application (separate Fraud Form also required - see below)

AEIG Application for Florida Only: AEIG FL Application (Fraud Form is already attached)

AEIG Fraud Form for applicants in GA, IL, LA, ME, OK, OR, TX & WA  LS Fraud Form

AEIG Fraud Form for the remaining states (Except FLMain Fraud Form

AEIG Payment Plan Options Form (for all states)

AEIG Coverage Highlights

AEIG Catastrophic Accident & Illness Highlights

Bascule Add Ons Application

Berkley Equine & Cattle/Star NetHorse Insurance Application to be completed by the applicant: Berkley/StarNet Application

Great American Insurance Company - Horse Insurance Application
To be completed by the applicant: GreatAmerican Application.pdf

 

 

Justification of ValueRequired 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.

value_just.pdf

Veterinary Certificates:
A veterinary certificate is required for all horses valued over $100,000 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 Great American

Vet Certificate StarNet/Berkley

 

Private Horseowners' Liability (PHL) Applications:

American Reliable PHL App 

Bascule PHL App

 

Forms and Applications for insuring your Equestrian Business

Equestrian Commercial General Liability and Care, Custody & Control
Commercial Stableowners General Liability Application

Private Horse Owner's Liability (PHO):
PHO App 

Riding Clubs & Associations Application:
Riding Clubs & Associations App

Equestrian Show & Event Application:
Show & Event App

Farm & Equine Application:
Farm & Equine App

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