Horsebox Insurance Proposal Form
Submit your vehicle and driver details to apply for KBIS British Equestrian Insurance coverage.
Client Details
Please provide the client's personal information for KBIS British Equestrian Insurance.
Title
*
Please Select
Mr
Mrs
Miss
Ms
Dr
Prof
Other
First Name
*
Surname
*
Address
*
Street Address
Street Address Line 2
City
County
Postal Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Telephone Number
*
Please enter a valid phone number.
Format: 00000000000.
Email Address
*
example@example.com
Date of Birth
-
Day
-
Month
Year
Date
Vehicle Details
Please provide accurate information about the horsebox to be insured.
Vehicle Registration
*
Vehicle Make
*
Vehicle Model
*
Transmission
*
Please Select
Automatic
Manual
Semi Automatic
Fuel Type
*
Please Select
Alcohol
Biofuel - Petrol
Biofuel Only
CNG - Petrol
Compressed Natural Gas (CNG)
Diesel
Electric - Diesel
Electric - Petrol
Electric Only
Electricity
Hydrogen
Liquified Natural Gas (LNG)
LPG
LPG - Petrol
Petrol
Left or Right Hand Drive
*
Left Hand Drive
Right Hand Drive
Vehicle Engine Size (CC)
*
Coachbuilder Name
*
Vehicle Value
*
Please note this should be the value of the vehicle at the time of insuring it which is not necessarily the amount it was purchased for
Gross Vehicle Weight (tons)
*
Please Select
3.5
4.5
5
5.5
6
7.5
12
16
18
26
Date of Registration
*
-
Day
-
Month
Year
Date
Use of Vehicle
*
Please Select
Carriage Of Goods (including horses) For Hire And Reward
Commuting
Personal Business Use
Social, Domestic And Pleasure
Annual Mileage
*
Date of Purchase
*
-
Day
-
Month
Year
Date
Where is the vehicle kept overnight?
*
Please Select
Car Barn
Car Park
Carport
Garaged
Kept on Private Propert - Gated/Secure
Kept on Private Property - Unsecure
Kept On Public Road
Parked On Drive
Resident Parking - Gated/Secure
Resident Parking - Not Secure
Postcode where vehicle is kept overnight
*
Ownership and Usage Details
Provide information about ownership, relationship to proposer, and driver details.
Relationship to Proposer
*
Please Select
Brother or Sister
Business Partner
Child
Daughter in Law or Son in Law
Daughter Or Son
Director
Employee Of Proposer
Employer Of Proposer
Family
Grandchild
Grandparent
Guardian
Lodger
Not Applicable
Parent
Partner - Civil
Partner - Common Law
Partner Of Family
Proposer
Sibling
Sister In Law Or Brother In Law
Spouse
Tenant
Unrelated
Volunteer Of Proposer
Who is the owner of the vehicle?
*
Please Select
Brother or Sister
Civil Partner of Director/Partner
Company Director
Company Other Than Proposer
Contract Hire
Employee
Employer
Garage
Other
Other Family Member
Parent
Partner - Civil
Partner - Common Law
Proposer/Policyholder
Proposers Business Partner
Son or Daughter
Spouse
Spouse of Director/Partner
Third Party
Trust
Vehicle Leasing Company
Who is the keeper of the vehicle?
*
Please Select
Brother or Sister
Civil Partner of Director/Partner
Company Director
Company Other Than Proposer
Contract Hire
Employee
Employer
Garage
Other
Other Family Member
Parent
Partner - Civil
Partner - Common Law
Proposer/Policyholder
Proposers Business Partner
Son or Daughter
Spouse
Spouse of Director/Partner
Third Party
Trust
Vehicle Leasing Company
Who will drive the vehicle?
*
Please Select
Any Driver - Excluding Drivers Under 25
Insured And 1 Named Driver
Insured And 2 Named Drivers
Insured Only
How much horsebox experience do you have? (in years)
*
Drivers
Add details for each person who will drive the vehicle. You may add multiple drivers.
Driver Details
*
Details of Motoring Convictions
Details of Criminal Convictions
Details of Driver Medical Conditions or Disabilities
Submit Proposal
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