David S Buffamoyer, Insurance Agent in Anderson, SC 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the Insured’s Name and Policy Number in the designated fields. Ensure accuracy as this information is crucial for your insurance records.
3. Fill in your contact details, including Phone Number and Email. This allows for effective communication regarding your policy.
4. Provide the Horse’s Name and Registration Number. This identifies the insured horse under your policy.
5. In the Request section, check all applicable options such as Renew/Rebind Insurance or Add Coverage. If increasing value, specify the amount clearly.
6. Answer all Health Questions truthfully. If you respond 'Yes' to any question, provide detailed information in the space provided or on a separate sheet if necessary.
7. Finally, sign and date the form at the bottom to confirm that all information is accurate and complete before submitting.

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