Horse & Carriage Insurance Inquiry Form Fill out the form and one of our account managers will be in contact with you soon! Name* First Last Effective Date (Need by date) MM slash DD slash YYYY Business Name Entity Type*IndividualLLCPartnershipCorporationMailing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific 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)*Carriage / Wagon RidesTours / HackingTrail RidesPony RidesBoardingRiding LessonsOtherPlease list any activities your involved in that were not listed above?Estimated Gross Annual Income**If you do not know, make an estimate based on what you hope to make within the first year of businessAre you currently insured?*Select AnswerYesNoWhat is the name of your current insurance company?Upload loss runs from current carrierAccepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 32 MB.*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.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. One of our account managers will be in touch to go over the next steps in the quoting process. If this is your first time requesting coverage information from Ruhl Insurance, you must provide us with a copy of your loss history by either uploading it above or emailing copies to Equinedocs@iruhl.com. Ruhl Insurance
