Forms

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=90 BGCOLOR="#006699" TEXT="#080000" background="145ef2d3.jpg"> <div> <B><IMG SRC="29522460.jpg" border=0 width="546" height="70" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></div> </td> </tr><tr> <td valign="top" width=210 BGCOLOR="#FFFFFF" TEXT="#080000" background="145ef2d3.jpg"> <div> <A HREF="index.htm" TARGET="_top" TITLE=" "><U>Home</U></A></div> <div> <A HREF="about_us.htm" TARGET="_top" TITLE="About Us"><U>About Us</U></A></div> <div> <A HREF="contact_us.htm" TARGET="_top" TITLE="Contact Us "><U>Contact Us  </U></A></div> <div> <A HREF="horse_insurance.htm" TARGET="_top" TITLE="Insurance For Your Horse"><U>Insurance For Your Horse</U></A></div> <div> <A HREF="farm_insurance.htm" TARGET="_top" TITLE="Farm Property Insurance "><U>Farm & Property Insurance  </U></A></div> <div> <A HREF="liability_insurance.htm" TARGET="_top" TITLE=" Liability Insurance"><U> Liability Insurance</U></A></div> <div> <A HREF="riding_clubs.htm" TARGET="_top" TITLE="Riding Clubs Associations"><U>Riding Clubs & Associations</U></A></div> <div> <A HREF="show_liability.htm" TARGET="_top" TITLE="Horse Show Liability"><U>Horse Show Liability</U></A></div> <div> <A HREF="get_a_quote.htm" TARGET="_top" TITLE="Get A Quote"><U>Get A  Quote</U></A></div> <div> <B>Forms</B></div> <div> <A HREF="claims.htm" TARGET="_top" TITLE="Claims"><U>Claims</U></A></div> <div> <A HREF="faqs.htm" TARGET="_top" TITLE="Frequently Asked Questions"><U>Frequently Asked Questions</U></A></div> <div> <A HREF="links.htm" TARGET="_top" TITLE="Links"><U>Links</U></A></div> </td> <td valign="top" height=390 width="100%" BGCOLOR="#FFFFFF" TEXT="#080000" background="145ef2d3.jpg"> <div> <I> <img src="HTMLobj-760/aniGif.gif" alt="Domwload printable forms...." border="0" align="bottom" width="239" height="45">  </I></div> <bR> <div> <U><IMG SRC="20ee34b0.jpg" border=0 width="483" height="75" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></div> <bR> <div> These forms are available to be viewed and printed in <U>Adobe Acrobat</U> format (pdf), version 5.0 or higher. To open the pdf form so that you can print it, click the form link. To download the file to your computer, right click over the link and choose "Save Target As..." or "Save Link As...". </div> <bR> <div> Click <A HREF="adobe_faqs.htm" TARGET="_top" TITLE="Adobe FAQs"><U><U>here</U></U></A> if you have questions regarding Adobe Acrobat </div> <bR> <div> If you don't have <U> <A NAME="adobe"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A></U><U>Adobe Acrobat Reader</U> version 5.0 or higher, you can download it for free by clicking here: </div> <bR> <div> <A HREF="http://www.adobe.com/prodindex/acrobat/readstep.html" TARGET="_top" TITLE="http://www.adobe.com/prodindex/acrobat/r"><U><B><IMG SRC="1c1581f0.gif" border=0 width="88" height="31" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></U></A></div> <div> <A HREF="http://www.adobe.com/prodindex/acrobat/readstep.html" TARGET="_top" TITLE="http://www.adobe.com/prodindex/acrobat/r"><U><U>http://www.adobe.com/prodindex/acrobat/readstep.html</U></U></A></div> <bR> <div> This will take you to the page where you can download the software. Find the words "Get Acrobat Reader - free" and click on them, then follow the download instructions.</div> <bR> <bR> <div> <B><U>Click On Form Link To Be Taken To Specific Form</U></B></div> <bR> <div> <TABLE BORDER="0" CELLPADDING="1" CELLSPACING="1" WIDTH="527" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=CENTER HEIGHT= 1123 WIDTH="523"><div> <A HREF="http://www.insurehorses.com/Mortality Application 4.1.05.pdf" TARGET="_top" TITLE="http://www.insurehorses.com/Mortality Ap"><U><B><U><IMG SRC="29c04300.jpg" border=0 width="260" height="48" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></B></U></A></div> <div> Application for mortality coverage for your horse, including colic surgery coverage. </div> <bR> <div> <A HREF="http://www.insurehorses.com/Hlth stmt4.1.05.pdf" TARGET="_top" TITLE="http://www.insurehorses.com/Hlth stmt4.1"><U><U><IMG SRC="29dcd300.jpg" border=0 width="205" height="48" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></U></A></div> <div> The insurance company will accept a health statement completed by you on horses to be insured at $25,000 or less and foals over 90 days of age.  The health statement will ask specific questions regarding the health history of the horse to be insured.  This report will save you the expense of an insurance veterinarian examination.</div> <bR> <bR> <bR> <div> <A HREF="http://www.insurehorses.com/Vet cert.pdf" TARGET="_top" TITLE="http://www.insurehorses.com/Vet cert.pdf"><U><U><IMG SRC="2a04c300.jpg" border=0 width="332" height="48" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></U></A></div> <div> <FONT SIZE="3" COLOR="#000000" FACE="helvetica" ><U>To be filled out by your Veterinarian.  </U> </FONT>A current examination is required to be completed by your veterinarian for horses valued in excess of $25,000; foals under 90 days of age; all horses used for racing; and may be required for horses with prior health conditions including previous surgery, lameness, illness or injury.  Mortality insurance on senior horses may also require a current vet examination.  The veterinary report cannot be more than 30 days old at the time your policy begins.</div> <bR> <bR> <div> <A HREF="http://www.insurehorses.com/Vet Certfoals.pdf" TARGET="_top" TITLE="http://www.insurehorses.com/Vet Certfoal"><U><IMG SRC="2fb6c300.jpg" border=0 width="364" height="48" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <div> <U>To be filled out by your Veterinarian.  </U> <FONT SIZE="3" COLOR="#000000" FACE="Arial" >A current examination is required to be completed by your veterinarian for foals under 30 days of age.</FONT></div> <bR> <div> <A HREF="http://www.insurehorses.com/Personal Horse Owners Liability App 4.2001.pdf" TARGET="_top" TITLE="http://www.insurehorses.com/Personal Hor"><U><B><U><IMG SRC="2a180300.jpg" border=0 width="384" height="48" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></B></U></A></div> <div> <U>Coverage in case your horse injures a third party or damages their property. </U>  (Two pages, please be patient with down load)</div> <bR> <bR> <div> <A HREF="http://www.insurehorses.com/CGL Application.pdf" TARGET="_top" TITLE="http://www.insurehorses.com/CGL Applicat"><U><U><IMG SRC="2a29e300.jpg" border=0 width="414" height="48" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></U></A></div> <div> (Three pages, please be patient with down load)</div> <bR> <bR> <div> <A HREF="http://www.insurehorses.com/CCC 4.2002.pdf" TARGET="_top" TITLE="http://www.insurehorses.com/CCC 4.2002.p"><U><U><IMG SRC="2a344300.jpg" border=0 width="324" height="48" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></U></A></div> <bR> <bR> <div> <A HREF="http://www.insurehorses.com/AEIG Clubs & Associations 2.pdf" TARGET="_top" TITLE="http://www.insurehorses.com/AEIG Clubs &"><U><B><U><IMG SRC="2a49d300.jpg" border=0 width="413" height="48" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></B></U></A></div> <div> (Two pages, please be patient with down load)</div> <bR> <bR> <div> <A HREF="http://www.insurehorses.com/AEIG Horse Show 2.pdf" TARGET="_top" TITLE="http://www.insurehorses.com/AEIG Horse S"><U><B><U><IMG SRC="2a594300.jpg" border=0 width="404" height="48" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></B></U></A></div> </tD> </tR> </TABLE></div> <bR> <bR> <div>       <A HREF="http://www.insurehorses.com/Questions & Ans.pdf" TARGET="_top" TITLE="http://www.insurehorses.com/Questions & "><U><U><IMG SRC="2a63e300.jpg" border=0 width="318" height="48" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></U></A></div> <bR> <bR> <bR> <DIV ALIGN="LEFT"></DIV> <div> <A HREF="http://www.adobe.com/prodindex/acrobat/readstep.html" TARGET="_top" TITLE="http://www.adobe.com/prodindex/acrobat/r"><U><B><IMG SRC="1c1581f0.gif" border=0 width="88" height="31" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></U></A></div> <div> You do need Acrobat Reader 5.0 or higher to read and print out these files. </div> <div> To download and install for free, click on the link above.</div> <bR> </td> </tr></table></body>