Notify us of a new Equine Insurance claim

Your details

Are you the policyholder?*

Are you authorised to make amendment to the policy?*

Your title

Your Name*

What is your relationship to the policyholder?*

Who would you prefer us to contact regarding the claim?

You
The Policyholder

Policyholder's details

Policyholder's title as shown on policy documents

Policyholder's first name as shown on policy documents

Policyholder's last name as shown on policy documents

Phone number of the person we should contact regarding this claim

Email address of the person we should contact regarding this claim

Policyholder's address as shown on policy documents

To find your address enter the first line of your address or postcode:

What is your policy number?

What type of claim would you like to make?

Details of horse

Name of horse as shown on policy documents

Horse's registered name

Horse's competition name

Discipline(s)

Advanced Eventing Broodmare
Carriage Driving
Companion Cross Country
Dressage - Affiliated
Dressage - Unaffiliated
Endurance
Eventing - Affiliated Eventing - Unaffiliated Hacking
Horse Boarding/Surfing Hunting
Ice Tolt Mounted Games
Polo Polocrosse
Pony Club Activities Promotional/Film/Stunt Work
Racing Reining/Western
Schooling
Showing Jumping
Affiliated Show Jumping
Unaffiliated Showing
County Showing
Local Showing
Side Saddle Steeplechasing
Working Horse
Team Chasing
Vaulting
None of the above

Breed of horse

Age of horse

Colour of horse

Height of horse

Is the horse currently on loan?

When did the loan period start?

What was the purchase price of the horse?

When was the horse purchased?

Should your claim for veterinary fees be accepted, who you would like payment to be made to?

Policyholder
Vet

Was the horse put to sleep by a vet or other professional?

What condition led to the animal being put to sleep?

Abscess
Allergies
Arthritis/DJD
Autoimmune disorder
Azoturia/ Exertional rhabdomyolysis/ Polysaccharide Storage Myopathy/ Tying up
Bite/Sting
Cellulitis
Choke
Colic
Complications from Castration
Complications from Foaling
Cushing’s Disease
Dental conditions
Ear Disorder
EGGD - Equine Glandular Gastric Disease
EGUS – Equine Gastric Ulcer Syndrome
Equine Herpes Virus (EHV)
Equine Infectious Anaemia (EIA)
Equine Metabolic Syndrome (EMS)
Eye condition
Fracture
Gastro Intestinal/Digestive System Disorders Headshaking Syndrome
Heart Disease/disorder/dysfunction/failure/irregularities/murmur
Hormonal Disorder/imbalance
Infection
Injury
Kidney conditions
Kissing Spines / impinging spinous processes
Lameness (Undiagnosed)
Laminitis
Liver disorder
Lymphangitis
Mastitis
Melanomas
Mites
Mud Fever
Neurological Deficit/disorders
Osteochondritis Dissecans (OCD)
Poisoning
Poor Performance
Pyrexia of Unknown Orgin
Reproductive disorders
Respiratory disorder
Retained Testicles / rig
Sarcoids
Shivers
Sinusitis
Strangles
Skin Disorder
Undiagnosed Gastro Intestinal/Digestive System Virus
Wobbler Syndrome
Worm and parasite burdens
Wound

What date was the animal put to sleep?

What date did the animal pass away?

Did a vet / another professional attend the animal?

If you have incurred veterinary fees, should your claim for be accepted please confirm who you would like payment to be made to?

Policyholder
Vet

Are you eligible to claim VAT costs back from your veterinary bills?

Before you contacted your veterinary surgery, when did the horse start presenting symptoms?

What symptoms is the horse suffering from and what action has been taken? If a diagnosis has already been made please include this.

1300 characters

Please select one of the options that best describes what condition you need to claim for.

Abscess
Allergies
Arthritis/DJD
Autoimmune disorder
Azoturia / Exertional rhabdomyolysis/ Polysaccharide Storage Myopathy/tying up
Bite/Sting
Cellulitis
Choke
Colic
Complications from Castration
Complications from Foaling
Cushing’s Disease
Dental conditions
Ear Disorder
EGGD - Equine Glandular Gastric Disease
EGUS – Equine Gastric Ulcer Syndrome
Equine Herpes Virus (EHV)
Equine Infectious Anaemia (EIA)
Equine Metabolic Syndrome (EMS)
Eye condition
Fracture
Gastro Intestinal/Digestive System Disorders Headshaking Syndrome
Heart Disease/disorder/dysfunction/failure/irregularities/murmur
Hormonal Disorder/imbalance
Infection
Injury
Kidney conditions
Kissing Spines / impinging spinous processes
Lameness (Undiagnosed)
Laminitis
Liver disorder
Lymphangitis
Mastitis
Melanomas
Mites
Mud Fever
Neurological Deficit/disorders
Osteochondritis Dissecans (OCD)
Poisoning
Poor Performance
Pyrexia of Unknown Orgin
Reproductive disorders
Respiratory disorder
Retained Testicles / rig
Sarcoids
Shivers
Sinusitis
Strangles
Skin Disorder
Undiagnosed Gastro Intestinal/Digestive System Virus
Wobbler Syndrome
Worm and parasite burdens
Wound

Has the horse suffered from a similar problem previously?

What problem has the horse previously suffered from?

1300 characters

Have you contacted a vet?

On what date was the vet contacted?

Name of veterinary practice that was first attended

Branch/postcode of the veterinary practice that was first attended

Name of the vet who was first attended

Email address of the vet who was first attended

Have any other vets or practitioners been involved in treatment related to this claim?

Who are the other vets or practitioners and what treatments were administered by them?

Has the horse previously received treatment from a vet(s) that is not listed?

Who are the vets not listed from whom the the horse has previously received treatment?

What type of Personal Accident claim are you making?

Temporary total disablement
Permanent total disablement
Dental treatment

Date of the incident

What injury have you sustained?

Is this a new medical condition?

What were the circumstances that led to the injury?

1300 characters

Did you attend a hospital / GP?

Details of the hospital/GP

What do you do for work, and what are you usual duties?

What are you claiming for?

Theft
Damage

What type of tack claim are you making?

General
Specified

Please confirm the item details as listed on your policy

1300 characters

Please confirm the make and model of the trailer

When did the incident happen?

Where did the incident happen?

What damage has been sustained?

1300 characters

How did the damage occur and were there any witnesses?

Should your claim be accepted please confirm who you would like payment to be made to

Me
Repairer

Can you claim back VAT costs?

When did the incident happen?

What were the circumstances of the theft and were there any witnesses?

Were the police contacted?

What is the crime reference number?

Declarations

I confirm that the information provided by me as part of this claim form is to the best of my knowledge true and complete

I agree to NFU Mutual contacting my vet/veterinary practice regarding my claim

I permit NFU Mutual to divulge information related to my claim to my vet/veterinary practice

I understand that in order to advance by claim NFU Mutual will share information related to my claim with other organisations and public bodies

I understand that in order to advance my claim NFU Mutual will have to contact me and that no claims intimation will be made until then

By submitting this form you are happy for us to contact you regarding your enquiry.

To find out more about how we use your personal information, please read our Privacy Policy Information.

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Make a new Equine Insurance claim

Your details

Policyholder's details

Details of horse

Declarations