Horse & Carriage Insurance Quote Form

Horse and Carriage Insurance

Is this for New Coverage or a Renewal?**
Name*
First Last
Effective Date (Need by date)
Date Format: MM slash DD slash YYYY
Business Name
Entity Type*
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Email
Phone*
Estimated Annual Receipts from this Past Year*
Activity (Ex: Carriage Rides) Activity Receipts

*Please list all activities & receipts as well as any new activities. Click on the + to add more rows.
Please Note if there have been any Changes to your Operation:
Years in business*
Type of Operation (Select all activities that apply)*
Please list any activities your involved in that were not listed above?
List Type of Carriages/Wagons Used
*Skip if this does not apply to your operation
List Carriage Drivers (Name, Age, Years of Experience)
*Skip if this does not apply to your operation
Estimated Gross Annual Income*
*If you do not know, make an estimate based on what you hope to make within the first year of business
Are you currently insured OR have had coverage in the past 3 years?*
If yes, what is the name of your current or past insurance company?
Upload loss runs from current carrier
Accepted file types: jpg, gif, png, pdf, doc, docx.
*If currently insured, loss runs must be provided in order to receive a quote. If you have any questions about obtaining a copy of your loss runs, please call our office at (800) 547-6860.
If applicable, please explain any losses that occurred in the last 5 years
Questions/Comments/Concerns?
Please note that by hitting the submit button you HAVE NOT placed your insurance coverage. No coverage can be bound or changed via this website. This is for quoting purposes only. One of our account managers will be in touch to go over your quote. If this is your first time placing coverage with Ruhl Insurance and you have had coverage elsewhere in the past you must provide us with a copy of your loss history by either uploading above or emailing copies to Equinedocs@iruhl.com.
Please note that by hitting the submit button you HAVE NOT renewed your insurance coverage. No coverage can be bound or changed via this website. This is for quoting purposes only. One of our account managers will be in touch to review your renewal information if needed, otherwise you should receive a quote within a couple days of submission.

Activity (Ex: Carriage Rides)	Activity Receipts