Specific applications are required for the variety of coverage’s offered. Each form is a PDF that can be downloaded and printed to be complete. All documents must be completed and signed before submitting.
If you have any questions please e-mail or contact Kaplow Insurance Agency for assistance.

Equine Mortality Application

Required for all new equine mortality coverage.

To be completed by the owner of the animal or party taking out the policy.

Statement of Health

Required for policy renewals and coverage increases.  To be completed by the policy holder.

 Justification of Value

Required at renewal of all horses and to increase a horse’s value.

 Veterinary Exam

Required for horses being insured in excess of $100,000.  Also required on horses 16 years old and older.

 Fertility Exam

Required on breeding stallions with stallion accident, sickness & disease coverage for new and renewal policies.

Loss of Use Form

Required for all new and renewal policies for animals with loss of use coverage.  See SPECIFIC REQUIREMENTS.

Credit Card Authorization

Required to authorize installment or annual premium payments.


Current News at Kaplow