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.
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.
Connecticut residents:
Complete Renewal Online – CT
Download PDF – CT
Florida residents:
Complete Renewal Online – FL
Download PDF – FL
Kansas residents:
Complete Renewal Online – KS
Download PDF – KS
Kentucky residents:
Missouri residents:
Complete Renewal Online – MO
Download PDF – MO
New Jersey residents:
Complete Renewal Online – NJ
Download PDF – NJ
ALL OTHER STATES:
Complete Renewal Online – Standard App.
Download PDF – Standard App.
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.
Connecticut residents:
Download PDF – CT
Complete Application Online
Florida residents:
Download PDF – FL
Complete Application Online
Kansas residents:
Download PDF – KS
Complete Application Online
Kentucky residents:
Download PDF – KY
Complete Application Online
Missouri residents:
New Jersey residents:
Download PDF – NJ
Complete Application Online
New York residents:
Download PDF – NY and NY Disclosure Form
Complete Application Online
Washington residents:
Download PDF – WA
Complete Application Online