Thursday, 9th October 2014

The History of the Australian Bloodhorse

Livestock

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Contact Details

Name of the owner of the animal if different to your name (eg. Company or partnership etc)?

  Postcode *

Email    Phone

Insurance Questions

Is/are the animal/s currently insured or has/have the animal/s been insured previously? *

Does any animal have a history of colic and/or gastrointestinal disorder/s? *

Does any animal have any previous/existing illness, injury or abnormality? *

Is any animal regularly more than 2 hrs/150 kms away from the nearest veterinarian? *

Will any animal be anywhere other than Australia/New Zealand at any time during the proposed period of cover? *

Does the Proposed Sum Insured include GST? *

Have you ever had insurance cover declined, renewal/s not offered, special condition/s imposed or claim/s denied? *

Have you had any previous losses? *

Is there anything else of which the Insurer/s should be made aware? *

Livestock


E.g. Alpaca, Bovine, Canine, etc.

$

%


Registration No., Tag No., Microchip No. or other

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$
Leave blank if not applicable

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The standard cover is mortality and theft, including transits within Australia/New Zealand.
If you require any additional cover, please enter your requirements below.

Extensions Sought



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