Renewal Health Declaration

Equine Protection - Renewal Health Declaration

Horse Health Declaration

(1) Has the insured horse to your knowledge:
Should it be necessary I give my permission for all facts relating to any past veterinary treatment of this horse/pony to be disclosed for the purposes of insurance with the above company.

To the best of my knowledge and belief all facts relating to the above horse's conditions during the past 12 months have been fully disclosed. I hereby declare that the animals described in this document is in a good state of health and any other facts relating to this policy which may effect the insurance have also been included.