Equestrian Insurance Quotation Request Form

Important notice: Please complete all sections to enable us to select which of our policies best suit you and your horse. Our team will then contact you with full details of cover(s) and an indication of premium. It is important that we have a telephone number to contact you on.
If you wish to phone for a quote you can do so on 0845 450 0634.

*entry required

 
About You

 

Title:

Other (please specify):

*Your Name (first and surname):

*Full Address:

Post Code:

*Date of Birth:

*Telephone:

Email Address:

Occupation:

Please state membership of any Equestrian Society, Riding or Pony Club i.e. BHS:

If BHS member state level of cover:

Do you require cover for:
Vets Fees

Public Liability

Personal Accident

Loss of Use

Trailer Cover

 
Horse or Pony Descriptions

 

If you have more than 4 to insure please call our freephone 0800 289 982
 
1. Horse or Pony Name:
  
 
Age:
  
 
Sum to be Insured:
  
 
Year Purchased:
  
 
Use (Hacking, Showjumping, ect).
State all main ones applicable:
  
 
Please indicate which policy / ies you are interested in:
  
 
Current Insurer:
  
 
Renewal Date:
 
Trailer Cover State Value:
  

 

 

2. Horse or Pony Name:
 
Age:
 
Sum to be Insured:
 
Year Purchased:
 
Use (Hacking, Showjumping, ect).
State all main ones applicable:
 
Please indicate which policy / ies you are interested in:
 
Current Insurer:
 
Renewal Date:

 

 

3. Horse or Pony Name:
 
Age:
 
Sum to be Insured:
 
Year Purchased:
 
Use (Hacking, Showjumping, ect).
State all main ones applicable:
 
Please indicate which policy / ies you are interested in:
 
Current Insurer:
 
Renewal Date:

 

 

4. Horse or Pony Name:
 
Age:
 
Sum to be Insured:
 
Year Purchased:
 
Use (Hacking, Showjumping, ect).
State all main ones applicable:
 
Please indicate which policy / ies you are interested in:
 
Current Insurer:
 
Renewal Date:

 
Horsebox / Trailer Quotation Form (if required)

 

Type of Horsebox / Trailer:

Sum to be Insured:

Number of Horses Carried:

Driving Required:

Occupation of Main Driver:

Have you had any accidents or convictions in the last 3 years?

Number of Years NCD:

 
 

 

Where did you hear about us:

COMMENTS BOX
please enter any other information you wish relating to your requirements.

Data Protection. We may share the information given with the SEIB Group of companies and or other associated companies who can help us enhance our products and services to you. If you do not wish to receive or have your information shared then please change the box to read "NO".