Equine Insurance Quotation Request Form
Please use this form for all equine insurance needs.

Contact Name (*):    
Company Name:    
Your Address (*): Postcode(*):
Country: Telephone(*):
Email(*): Fax:

Yard Liability
Please enter your Business Description  
Please select the Public Liability Indemnity Limit
Do you own or lease your premises? Own
Are all the buildings in a Good state of repair ?
Do you have stabling at any other premises ?
Do you have Stallions standing ?
Maximum Horses at the Premises at any one time ?
Maximum number of Clerical Staff any one time ?
Maximum number of manual Staff any one time ?
Do you have any other livestock ?
Custody, Care and Control
Number of Visiting horses ?
Number of Permanent Boarding Horses ?
Indemnity Limit required per horse
Indemnity Limit required in aggregate (must be at least limit per horse)
Number of Horses for which cover is required ?
For each horse, please provide the following details: Name of Horse, Breeding, Sex, Use, Age. Alternativly, please provide details in an email.
Is Emergency Surgery Cover required ?
  Terms of Business
I have read and agree with Terms of Business