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VETERINARY CERTIFICATE
FOR MORTALITY INSURANCE

For horses aged between 24 hours and 45 days only.

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VETERINARY CERTIFICATE
FOR MORTALITY INSURANCE

For sporthorses over 45 days of age.

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DECLARATION OF HEALTH

To be completed by the owner of the horse or the person responsible for the horse(s).

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STATUS UPDATE FORM

For a renewal of coverage.

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GREAT AMERICAN APPLICATION

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JUSTIFICATION OF VALUE FORM

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GSNIC APPLICATION – 48 STATES

For policies held in all States EXCEPT California and Washington.

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GSNIC APPLICATION – California/Washington

For policies held only in California or Washington.

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PAYMENT AUTHORIZATION
FOR AUTOMATIC PAYMENTS

For policies Underwritten by AXA XL or GSNIC only.

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