Forms & Applications

Our long-standing relationships with the most experienced underwriters in the industry define our special network of resources. Let us utilize our expertise on your behalf, from equine mortality to liability coverage. Navigate the tabs below to locate the form or application you are looking for.

Apply for Equine Mortality Coverage

A Veterinary Examination Form must be completed in order to apply for equine mortality coverage.

Download the form here & send the completed form to our office via Fax or E-mail.

Download Vet Exam Form (PDF)

Complete Vet Exam Form ONLINE

Fax: (502) 638-5060    E-mail:  Matthew@Lavininsurance.com

Current Liability Clients:

Please complete the State-Specific application. These renewal forms are for EXISTING clients only. Renewing applicants MUST send application / payment by November 1 each year in order to continue coverage without a lapse.

New Liability Clients:

Please complete the State-Specific application. These renewal forms are for NEW clients only. If you are NOT a member of the N.H.B.P.A. or state H.B.P.A. affiliates, we can facilitate your annual membership. Please include a separate check of $200 for the annual Membership fee or call the National H.B.P.A. at 1-866-245-1711.