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Equine Insurance Quote

Equine Insurance QuoteGravity Certs2024-10-24T16:28:50-04:00
MM slash DD slash YYYY
Applicant Name(Required)
Can we text you?(Required)
Please visit our Privacy Policy regarding Texting/SMS communication.
Physical Address(Required)
Mailing Address
Type of ownership(Required)
Membership affiliations(Required)
Do you have any other liability insurance? (farm, home)(Required)
Have you had any claims in the last 5 years?(Required)
Horse(s) information.(Required)
(Click the "+" icon to the right to add more horses)
Name
Sex
Age
Use
Color/Markings
Breed
$Value
 
Do you want Mortality Insurance for your horse(s)?(Required)
Include address and phone number.
Include name, address, and phone number
Is horse(s) on vaccination and worming program approved by a vet?(Required)
Certificate Holder(s)
(Click the "+" icon to the right to add more certificate holders)
Name
Address
City/State/Zip
COI Type
Holder Type
 
This field is hidden when viewing the form
Consent(Required)
Like most insurance agencies, we use information from you and other sources, such as your driving and claims histories, insurance score, and other factors to calculate an accurate rate for your insurance. New or updated information may be used to calculate your renewal premium.
All the above information is accurate and true to the best of my knowledge.(Required)
Would you like to create a user account to manage your submissions?(Required)
Create a Password(Required)
This field is for validation purposes and should be left unchanged.

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NextGen Insurance

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Wellington, Florida 33414
Phone: 561-584-8525

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DISCLAIMER: Informational statements regarding insurance coverage are for general description purposes only. These statements do not amend, modify or supplement any insurance policy. Read your policy or consult with your agent for details. Your eligibility for particular products and services is subject to final underwriting and acceptance by the insurance company providing such products or services.

This website does not make any representations that coverage does or does not exist for any particular claim or loss, or type of claim or loss, under any policy. Be sure to read the policy, including all endorsements, or prospectus, if applicable.

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If your application contains purposefully misleading, absent, or inaccurate information, you could be charged with fraud. Your insurance carrier could potentially void your policy, or you could face civil or criminal charges or penalties.

Any person who knowingly and with intent to defraud any insurance company or other 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 act, which is a crime.

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