Bloodstock Insurance Quotation

Information You Must Disclose

The terms of any insurance that we arrange on your behalf will be based upon the information provided by you.

You must disclose all ‘Material Circumstances’ to us or your insurers, both at the outset and throughout the period of insurance cover. Material Circumstances are all the items of information that may influence the insurer’s decision as to whether to provide cover for your risk, the premium to be charged, and the terms of your insurance.

To identify what must be disclosed, you are required to carry out a reasonable search of your business and its activities.

As part of the search, you should consult with all senior management. This includes anyone who plays a significant role in the making of decisions regarding your business, regardless of whether that individual is a member of your board or is formally in a management role. This might include people such as site managers, risk managers, operational and business leaders. You will need to consider where to draw the line given the management of your business.

The most serious consequence of failing to disclose material information could be the invalidation of your cover. In this instance it would mean that a claim will be rejected.

The following must be disclosed:

• Claims and loss history
• Losses or incidents where claims were not made
• Criminal (non-motoring) Convictions
• Significant adverse credit history such as a CCJ
• Previous declinature by insurers to provide cover

  During the lifetime of the policy, you must notify us immediately of any changes in circumstance which may increase the possibility of loss, damage or legal liability covered by this policy.

  This list is not exhaustive and if you are in doubt as to whether any change in your circumstances need to be notified to insurers then please contact us with the details as soon as possible.

• Information You Must Disclose*
  I confirm I have read and understood the ‘Information You Must Disclose'

• General Details

• Name*
  First Last
• Main Contact Number*
• Email Address*
• Correspondence Address
  Address Line 1* Address Line 2 Town or City* County* Postcode*
• When do you need the insurance to start from?
  DD slash MM slash YYYY
• Organisation / Company Syndicate Name
  If Applicable

• Mortality Insurance

• Please confirm the details of the horse(s) you wish to be covered:
  To add another horse, please press the plus button found to the right of the columns. To note, if you have more than 20 horses, please call us directly on 01962 774421.

  Name	Sire	Dam	Age	Horse Sex	Usage	Value (£)

• Does any horse above have any ongoing or existing injuries or illnesses?
  • Yes
  • No
• If yes, please specify below which horse and the injury or illness.

• Prospective Foal

• Do you require Prospective Foal Insurance?*
  • Yes
  • No
• Please confirm the details of the horse(s) you wish to be covered:
  Too add another horse, please press the add button found to the right of the columns. To note, if you have more than 20 horses, please call us directly on 01962 774421.

  Mare Name	Mare's Sire	Mare's Dam	Mare's Age	Number of Previous Live Foals	Number of Previous Lost Foals

• Does any Mare above have any ongoing or existing injuries or illnesses?
  • Yes
  • No
• If yes, please specify below which mare and the injury or illness.
• What level of cover do you require?
  Until BirthUntil 24 hours after BirthUntil 48 hours after BirthUntil 30 days after BirthUntil Fall of Hammer Foal SaleOther
• If other, please specify what level of cover would you like?

• CLAIMS AND OTHER INFORMATION:

• Do you hold shows at your premises?
  • Yes
  • No
• Number of shows held at premises per annum
• Has the proposed Policyholder(s) ever had any claims or incidents?
  • Yes
  • No
• Please provide further information about the claim/incident
• Has the proposed Policyholder(s) ever had any criminal convictions?
  • Yes
  • No
• Please give details of any conviction(s)
• Has the proposed Policyholder(s) had any insurance declined, cancelled or any special terms imposed?
  • Yes
  • No
• Other Information
  Please detail any other information which you feel might be relevant.
• How did you hear about CoverMarque - part of the Clear Group*
  Please SelectWeb SearchAt The Showman's ShowOnline DirectoryAdvertSocial MediaWord of MouthOther
• Online Directory*
  • The Showman's Show
  • OpenAir
  • KITSHIFT
  • StandOut
• Advert*
  • StandOut
  • HEN Magazine
  • Open Air Magazine
• Social Media*
  • Facebook
  • LinkedIn
  • Twitter
  • Instagram
  • TikTok
• Other*
  Please confirm where you heard about CoverMarque - part of the Clear Group
• Your marketing preferences
  We’d like to keep you informed about our insurance products, services and offers. Please tell us how you would like to be contacted. By selecting any of these options, you agree that CoverMarque - part of the Clear Group (and Clear Insurance Management Limited) may contact you for marketing purposes using the methods you have chosen. You can change or withdraw your preferences at any time.
  • Select All
  Select All
  • Email
  • SMS
  • Phone
  • Post
• Handling of data*
  I accept the terms of how Clear Insurance Management Limited (and CoverMarque, part of the Clear Group) will handle my data. Read our customer Privacy Policy for more information.
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