Request a quote | Heritage Risk Advisory

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Insured Details

First Name*

Last Name*

I confirm that the policy holder is over 18 years of age

Email Address*

Multi-line address

Country/Region*

Address*

City*

Zip / Postal code*

Phone Number*

Have you ever had any insurance declined, cancelled, or refused renewal; had special conditions imposed on an insurance policy; had a claim declined or made a claim under a bloodstock/livestock insurance policy

Yes

No

Other

Horse Details

Registered name/Paddock name*

Microchip number

Sire

Dam

Year of Birth*

Breed*

Sex*

Filly

Mare

Gelding

Colt

Stallion/Horse

Colour*

Use

Show Jumping

Dressage

Eventing under 1 Star

Eventing 1 Star & Higher

Pony Club

Show Hunter

Pleasure Riding

Hunting

Western Riding (Roping, Reining, Cutting, Western Dressage)

Rodeo

Flat Racing

Rearing

Breeding

Other

Sum Insured*

Is the horse homebred*

Yes

No

Purchase price

Purchase date

Additional Details or Health History

How would you prefer to be contacted

Phone call

Email

Is the horse leased or on trial?

Yes

No

Veterinary reports

Photo of insured horse

I confirm the information provided is correct and consent to Heritage Risk Advisory collecting, using, storing, and sharing it with insurers and relevant third parties in line with applicable New Zealand privacy law.

OPENING HOURS

Mon - Fri 9:00 am – 5:00 pm

In an emergency, claims assistance is available 24/7.

PHONE

+64272202360

EMAIL

info@heritageinsurance.co.nz

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