Online Quote Request SOLVING YOUR INSURANCE NEEDS STARTS HERE Step 1 of 4 25% 5305 Temple Hall Hwy, Granbury, TX 76049 Phone: (800) 972-0272 Fax: (817) 579-9367Justin Insurance offers a complete line of products for your equine or ranch insurance needs. Please complete the form below for a free quote on equine mortality insurance, equine liability, horse show event coverage, trainer’s liability insurance or farm/ranch coverage.What kind of coverage are you interested in?*Equine Mortality/Medical InsuranceEquine Liability, Horse Show or Trainer's Liability InsuranceMedical InsuranceFarm and Ranch InsuranceOtherYour contact detailsContact* First Last Phone*Email* Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Briefly describe your needs.* Disclaimer Notice - The premiums quoted are estimates based on information you provided. This quotation does not constitute a contract of insurance, nor does it provide coverage for any loss or claim. Further information may be required in order for a complete quote to be provided. This quote request contains some information about coverage offered but it does not list all of the conditions and exclusions that apply to the described coverage. The actual wording of the policy governs all situations. Submitting a quote request online is not an “Application” for insurance. We ask that you provide general information using this online form for the purposes of gathering information on your interest in our insurance products and services. Once we receive your online quote request submission, a Justin Insurance representative will contact you to discuss the quote and formal application process. About your horseHorse Name* Breed* Age (year foaled)* Sex*MareGeldingStallionColtFillyColor* Primary use 1*Foal 24 hrs. - 30 daysFoal 31 days - 90 daysFoal 91 days - 1 yearEmbryo/Foal in UteroBreedingCutting/Reining/Working Cow HorseBarrel Race/Roping/RodeoShow (Western Pleasure, English, Hunt Seat)Pleasure/Trail RidingDrivingDressageEventingEnduranceHalterHunter JumperHunter Jumper (Pony)RanchingRacing (On The Track)Racing (Training Only/ Weanling or Yearling)Ranch Sorting/Team PenningOther (Please Provide Additional Information In The Box Below)Primary Use Additional Information 1*Requested Insured Value (insured value must be justified by purchase price, training, level of competition, earnings or points won since purchase, stud fee paid/breeding history and is subject to underwriting approval)*Purchase Price*Purchase/Lease Date* MM slash DD slash YYYY Type of Purchase 1*Private SaleAuctionLease (Copy of lease agreement required)Trade (Bill of sale and details of trade required)Homebred (please provide stud fee)GiftStud Fee (if homebred)* Would you like a quote for medical coverage? Yes No Please select a coverage (endorsements can be stacked)* None Colic Only Surgical Only *$7,500 Medical Assistance *Subject to value eligibility *$10,000 Medical *Subject to value eligibility *$15,000 Medical *Subject to value eligibility IMPORTANT: Please include additional information on your horse’s primary use if “other” was selected above; if horse was acquired via lease/trade, please provide terms of the lease/trade agreement; if you need coverage outside of the continental US or Canada; or if you have any questions.*Would you like a quote for second horse? Yes No Disclaimer Notice - The premiums quoted are estimates based on information you provided. This quotation does not constitute a contract of insurance, nor does it provide coverage for any loss or claim. Further information may be required in order for a complete quote to be provided. This quote request contains some information about coverage offered but it does not list all of the conditions and exclusions that apply to the described coverage. The actual wording of the policy governs all situations. Submitting a quote request online is not an “Application” for insurance. We ask that you provide general information using this online form for the purposes of gathering information on your interest in our insurance products and services. Once we receive your online quote request submission, a Justin Insurance representative will contact you to discuss the quote and formal application process. About your second horseHorse Name* Breed* Age (year foaled)* Sex*MareGeldingStallionColtFillyColor* Primary use 2*Foal 24 hrs. - 30 daysFoal 31 days - 90 daysFoal 91 days - 1 yearEmbryo/Foal in UteroBreedingCutting/Reining/Working Cow HorseBarrel Race/Roping/RodeoShow (Western Pleasure, English, Hunt Seat)Pleasure/Trail RidingDrivingDressageEventingEnduranceHalterHunter JumperHunter Jumper (Pony)RanchingRacing (On The Track)Racing (Training Only/ Weanling or Yearling)Ranch Sorting/Team PenningOther (Please Provide Additional Information In The Box Below)Primary Use Additional Information 2*Requested Insured Value (insured value must be justified by purchase price, training, level of competition, earnings or points won since purchase, stud fee paid/breeding history and is subject to underwriting approval)*Purchase Price*Purchase/Lease Date* MM slash DD slash YYYY Type of Purchase 2*Private SaleAuctionLease (Copy of lease agreement required)Trade (Bill of sale and details of trade required)Homebred (please provide stud fee)GiftStud Fee (if homebred)* Would you like a quote for medical coverage? Yes No Please select a coverage (endorsements can be stacked)* None Colic Only Surgical Only *$7,500 Medical Assistance *Subject to value eligibility *$10,000 Medical *Subject to value eligibility *$15,000 Medical *Subject to value eligibility IMPORTANT: Please include additional information on your horse’s primary use if “other” was selected above; if horse was acquired via lease/trade, please provide terms of the lease/trade agreement; if you need coverage outside of the continental US or Canada; or if you have any questions.*Would you like a quote for third horse? Yes No Disclaimer Notice - The premiums quoted are estimates based on information you provided. This quotation does not constitute a contract of insurance, nor does it provide coverage for any loss or claim. Further information may be required in order for a complete quote to be provided. This quote request contains some information about coverage offered but it does not list all of the conditions and exclusions that apply to the described coverage. The actual wording of the policy governs all situations. Submitting a quote request online is not an “Application” for insurance. We ask that you provide general information using this online form for the purposes of gathering information on your interest in our insurance products and services. Once we receive your online quote request submission, a Justin Insurance representative will contact you to discuss the quote and formal application process. About your third horseHorse Name* Breed* Age (year foaled)* Sex*MareGeldingStallionColtFillyColor* Primary use 3*Foal 24 hrs. - 30 daysFoal 31 days - 90 daysFoal 91 days - 1 yearEmbryo/Foal in UteroBreedingCutting/Reining/Working Cow HorseBarrel Race/Roping/RodeoShow (Western Pleasure, English, Hunt Seat)Pleasure/Trail RidingDrivingDressageEventingEnduranceHalterHunter JumperHunter Jumper (Pony)RanchingRacing (On The Track)Racing (Training Only/ Weanling or Yearling)Ranch Sorting/Team PenningOther (Please Provide Additional Information In The Box Below)Primary Use Additional Information 3*Requested Insured Value (insured value must be justified by purchase price, training, level of competition, earnings or points won since purchase, stud fee paid/breeding history and is subject to underwriting approval)*Purchase Price*Purchase/Lease Date* MM slash DD slash YYYY Type of Purchase 3*Private SaleAuctionLease (Copy of lease agreement required)Trade (Bill of sale and details of trade required)Homebred (please provide stud fee)GiftStud Fee (if homebred)* Would you like a quote for medical coverage? Yes No IMPORTANT: Please include additional information on your horse’s primary use if “other” was selected above; if horse was acquired via lease/trade, please provide terms of the lease/trade agreement; if you need coverage outside of the continental US or Canada; or if you have any questions.*Please select a coverage (endorsements can be stacked)* None Colic Only Surgical Only *$7,500 Medical Assistance *Subject to value eligibility *$10,000 Medical *Subject to value eligibility *$15,000 Medical *Subject to value eligibility Disclaimer Notice - The premiums quoted are estimates based on information you provided. This quotation does not constitute a contract of insurance, nor does it provide coverage for any loss or claim. Further information may be required in order for a complete quote to be provided. This quote request contains some information about coverage offered but it does not list all of the conditions and exclusions that apply to the described coverage. The actual wording of the policy governs all situations. Submitting a quote request online is not an “Application” for insurance. We ask that you provide general information using this online form for the purposes of gathering information on your interest in our insurance products and services. Once we receive your online quote request submission, a Justin Insurance representative will contact you to discuss the quote and formal application process.CommentsThis field is for validation purposes and should be left unchanged.
