Standard farrier application

For a quote on a customized farrier package policy for your operations, please complete and submit this application for a quote.

     
     

Coverage information
Care, Custody & Control/Legal Liability provides coverage arising from applicant’s negligence resulting in injury to or death of horses applicant does not own in the applicant’s care, custody and control as a result of the applicant’s negligence as a Farrier. Coverage includes cost to defend any suit alleging injury or death. This cannot be restricted by contractual or hold harmless agreements. Settlements are based on actual cash value at time of loss. Please read wording in policy coverage form.
Transportable equipment coverage provides protection for loss or damage to your transportable inventory of horse shoes, tools and supplies that are used in connection with your farrier practice.
Customer information
Desired effective date must be today's date and forward.
Authorization and fraud warning

Fair Credit Report Act Notice Personal information about the applicant, including information from a credit or other investigative report, may be collected from persons other than the applicant in connection with this application for insurance and subsequent amendments and renewals. Such information as well as other personal and privileged information collected by the insurer or the insurer’s agents may in certain circumstances be disclosed to third parties without the applicant’s authorization. Credit scoring information may be used to help determine either the applicant’s eligibility for insurance or the premium the applicant will be charged. The insurer may use a third party in connection with the development of the applicant’s score. The applicant has the right to review the applicant’s personal information in the insurer’s files and can request correction of any inaccuracies. A more detailed description of the applicant’s rights and the insurer’s practices regarding such information is available upon request. Contact the applicant’s agent or broker for instructions on how to submit a request to the insurer.

Fraud Warning Any person who knowingly and with intent to defraud any Insurance Company or another person files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime and subjects the person to criminal and [NY: substantial] civil penalties. (Not applicable in AL, AR, CO, DC, FL, KS, KY, LA, MD, ME, NJ, NM, NY, OH, OK, OR, PA, RI, TN, VA, WA, and WV) (insurance benefits may also be denied in LA, ME, TN, and VA.)

800-842-5024

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