Horse Insurance Quote Request

Horse Insurance Enquiry

Simply fill in the form below, and a member of our specialist team will be in touch with you shortly.

All fields marked with a ( *) are mandatory.

Your details

Full Name *

Phone

State *

Email Address *

Horse Details

Horse Name *

Age of Horse *Cover is available for horses up to and including 20 years of age.

Gender *

Please specify *

Nominated Mortality & Theft Value *Limited to $5,000 for horses between 16 years and up to and including 20 years.

Public Liability *

Loss of Use - Breeding *

YesNo

Loss of Use - Restrictive *

YesNo

Horse has pre-existing illness? *

YesNo

Life Saving Surgery? *

YesNo

Covers up to $5,000 for surgical procedures performed under general anaesthetic in an attempt to save the insured horse's life

Pre-existing illness *

Additional Horses?

Is a quote required for additional horses? *

YesNo

How many additional horses? *

12

Horse 2 Details

Horse 2: Name *

Horse 2: Age of Horse *Cover is available for horses up to and including 20 years of age.

Horse 2: Gender *

Please specify *

Horse 2: Nominated Mortality & Theft Value *Limited to $5,000 for horses between 16 years and up to and including 20 years.

Horse 2: Public Liability *

Horse 2: Loss of Use - Restrictive *

YesNo

Horse 2: Loss of Use - Breeding *

YesNo

Horse 2: Horse has pre-existing illness? *

YesNo

Horse 2: Life Saving Surgery? *

YesNo

Covers up to $5,000 for surgical procedures performed under general anaesthetic in an attempt to save the insured horse's life

Pre-existing illness *

Horse 3 Details

Horse 3: Name *

Horse 3: Age of Horse *Cover is available for horses up to and including 20 years of age.

Horse 3: Gender *

Please specify *

Horse 3: Nominated Mortality & Theft Value *Limited to $5,000 for horses between 16 years and up to and including 20 years.

Horse 3: Public Liability *

Horse 3: Loss of Use - Restrictive *

YesNo

Horse 3: Loss of Use - Breeding *

YesNo

Horse 3: Horse has pre-existing illness? *

YesNo

Horse 3: Life Saving Surgery? *

YesNo

Covers up to $5,000 for surgical procedures performed under general anaesthetic in an attempt to save the insured horse's life

Pre-existing illness *

Optional Extras

Note: The below questions apply to all horses being covered.

Personal Accident and Dental Cover *

YesNo

Saddlery and Tack *

YesNo

Saddlery and Tack Nominated Sum Insured *

Saddlery and Tack Description *

Insurance History

Insurance previously declined? *

YesNo

Previous Insurance Claims *

YesNo

Previous Claims History *

Additional Comments / Information

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