Insurance Questions
Is/are the animal/s currently insured or has/have the animal/s been insured previously? *
Yes
No
Does any animal have a history of colic and/or gastrointestinal disorder/s? *
Yes
No
Does any animal have any previous/existing illness, injury or abnormality? *
Yes
No
Is any animal regularly more than 2 hrs/150 kms away from the nearest veterinarian? *
Yes
No
Will any animal be anywhere other than Australia/New Zealand at any time during the proposed period of cover? *
Yes
No
Does the Proposed Sum Insured include GST The sum insured should exclude any GST paid in the purchase price of the horse. In the event of a claim, if you are not registered for GST, the GST amount is added to the claim settlement. If you are registered for GST, the GST amount may be claimed as a credit on your BAS. If you are unsure as to the amount of GST in the purchase price, please contact the vendor. ? *
Yes
No
Have you ever had insurance cover declined, renewal/s not offered, special condition/s imposed or claim/s denied? *
Yes
No
Have you had any previous losses? *
Yes
No
Is there anything else of which the Insurer/s should be made aware? *
Yes
No
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Equestrian
Name of Horse*
The standard cover is mortality and theft, including transits within Australia/New Zealand. Do you require cover?
Saddlery / Tack Cover Value of equipment
$ This is limited to $15,000 per horse
Items valued over $250
Specify any item of equipment with a value over $250
Comments
Equestrian
Name of Horse *
The standard cover is mortality and theft, including transits within Australia/New Zealand. If you require any additional cover, please enter your requirements below.
Saddlery / Tack Cover Value of equipment
$ This is limited to $15,000 per horse
Items valued over $250
Specify any item of equipment with a value over $250
Comments