Broadstone Equine Insurance Agency
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Forms & Applications

 

Forms and applications for Insuring your Horse(s)

Mortality Insurance Application:
For all horses, to be completed by the applicant
mortality.pdf

Justification of Value:
For all horses when the amount of insurance is higher than the horse’s original purchase price and for horses which were Home Bred; to be completed by the applicant
value_just.pdf

Veterinary Certificate:
For all horses valued over $50,000 and/or horses that have been treated for an accident, illness or disease in the last twelve months. Also for horses under 12 months and over 15 years of age. To be completed by a licensed veterinarian.
vet_cert.pdf

 

Forms and applications for insuring your Equestrian business

Equestrian Commercial General Liability including Care, Custody & Control, Applications:
cel.pdf

Equestrian Care, Custody & Control Application:
ccc.pdf

Personal Horse Owner's Liability (PHO):
personal.pdf

Horse Show Coverage Application:
show.pdf

Riding Clubs and Associations Application:
clubs.pdf

Equestrian Farm Owner's Application:
farm.pdf

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