PHOL PERSONAL HORSE OWNERS LIABILITY

First name

Phone

Last name

Mailing Address

City

State

Zip

Address of your horses

Are your horses for your own use or do you use them to teach riding lessons on, or other use?

Do you take horses in for training?

Does your horse have any vices?

Do you use your horse for carting or pulling?

Does your horse leave the USA?

Have you ever been refused for insurance? Do you have any losses?

Number of years experience owning horses?

Does the applicant conduct any commercial horse operations such as boarding, breeding, riding instruction, training of horses or leasing of horses to others where the applicant may or may not receive money or compensation? If "Y" then please complete a Farmowner Application

List the name, age, breed, sex, use & percentage of ownership for each horse listed?

Is there any other information we should know that would be relevant to you having insurance?

Any additional insureds?

APPLICANT UNDERSTANDS THAT COVERAGE AFFORDED UNDER THE "PRIVATE HORSE - OPTIONAL PROPERTY COVERAGE" IS RESTRICTED TO PROPERTY COVERAGE ONLY. NO LIABILITY COVERAGE IS AFFORDED TO HORSE TRAILERS, TACK, OR HAY/FEED/GRAIN.

Optional Property Coverage

Tack

Trailers

Hay

List item, use, VIN, description, market value & insurance amount requested.

Read Privacy Agreement

I have read the LB Farm & Equine Insurance Privacy Policy and I OPT IN

Thanks for submitting!
We’ll get back to you shortly.