Lavin Insurance Services

Securing Equine Mortality, Liability, and
Worker's Compensation Insurance On Behalf
Of Owners, Trainers, and Breeders.

Livestock Mortality Coverage

Forms / Applications

Liability / Excess Coverage

Workers Compensation

Get A Quote

Frequently Asked Questions

Please submit the following form. After all questions have been accurately answered a representative from Lavin Insurance will contact you with a quote within 48 hours of your submission.
Please note this application is to be used for quotational purposes only and no coverage shall be placed or bound by completing this application.

Fields in Blue are Required to submit form!

Your Name

Complete Mailing Address

Phone Number

HORSE#1

Name of Horse

Breed

Sire

Dam

Age

Sex
Colt Filly Gelding

Use
Flatracing Breeding Yearling Weaning
Other: Specify

Purchase Price

Date of Purchase

Requested Sum Insured

Location/Trainer of Horse

HORSE#2