Sport Horse Insurance Group Liability Coverage Questionnaire
Please fill the form accurately for better assistance
Please select which agent you are currently working with
Rachel Causey
Taylore Ashton
Name
*
First Name
Last Name
Phone Number
*
E-mail
*
example@example.com
Your Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Property You Operate Out of (if different from above).
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
If you operate out of multiple locations, please list them here:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Property Status
*
Own the property
Lease the Property
Other
Date Purchased (If Owned)
-
Month
-
Day
Year
Date
If new purchase...anticipated Closing Date
-
Month
-
Day
Year
Date
Acreage Estimate
Are You Currently Insured
*
Yes
No
Current Carrier and estimated annual premium
Are you a member of any national associations? i.e. USEF, AQHA, USHJA, etc.
What types of Operations do you offer on-site
*
Training of other's horses
Lessons
Boarding
Clinics/Camps
Trail Rides
Farrier Services
Breeding
Starting/Breaking
Sales
Equine Therapies
Host and/or Judge Horse Shows
Other
If you noted "Other" on the previous question, please go into detail about what you offer:
Please note estimated gross income for each service your operation provides
*
How many years of experience do you have working with horses?
*
How many years of experience do you have with this type of business/operation?
*
Do you own any personal horses, and if so, how many
*
What are your personal horses used for (retired, showing, training, instruction, etc.)
Are Dogs allowed on the property
*
yes
no
unsure
If dogs are allowed on property, are leashes required
yes
no
unsure
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