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Farm & Ag Insurance Application

Help us understand your operation. Whether you run cattle, grow crops, or manage a working ranch - we will build the right program.

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Operation
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Coverages
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Details
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Review
Primary Contact
Best number to reach you. Used for text updates and callbacks.
Farm / Ranch Details

Individuals without FEIN can skip

The more detail you provide, the faster we can build the right program

Owners / Principals

List all owners and their spouses. DOB is required for carrier background checks.

Owner 1
Owner 2
Owner 3
Owner 4
Farm / Ranch Locations

List all farm and ranch locations. Include acreage and distance to fire protection for each.

Location 1
Location 2
Location 3
Location 4
Location 5
Current / Prior Insurance
Loss History (Last 5 Years)
Loss 1
Loss 2
Loss 3
Loss 4
Loss 5
Mortgagee / Loss Payee
Mortgagee / Loss Payee 1
Mortgagee / Loss Payee 2
Mortgagee / Loss Payee 3
Select Coverages Needed

Check all coverage types that apply to your operation. We will ask for details on each one in the next step.

Not sure what you need? That is what we are here for. Select what you know and we will help identify gaps during our review. Or call us at (801) 505-5500.
Coverage Details

Complete the sections below for each coverage you selected. Only the coverages you checked will appear here.

Farm Dwelling

Furniture, appliances, clothing, personal items inside the dwelling

Farm Structures

List all barns, outbuildings, grain bins, silos, shops, and other farm structures. Each structure is classified by type for valuation.

Structure Type Guide:
Type 1 - Fully enclosed, conventional/steel frame, excellent condition (100% ACV)
Type 2 - 3-sided, pole frame, hay storage, masonry silos (80% ACV)
Type 3 - Portable, fabric-covered, fences, light poles (50% ACV)
Structure 1
Structure 2
Structure 3
Structure 4
Structure 5
Structure 6
Structure 7
Structure 8
Structure 9
Structure 10
Fencing

Pivots, pipe, pumps, drip systems

Farm Equipment / Machinery

Drag your equipment schedule here or click to browse
Excel, CSV, or PDF

    Note: Combines and irrigation equipment must be scheduled separately even with blanket coverage per most carrier requirements.
    Equipment 1
    Equipment 2
    Equipment 3
    Equipment 4
    Equipment 5
    Equipment 6
    Equipment 7
    Equipment 8
    Equipment 9
    Equipment 10
    Equipment 11
    Equipment 12
    Equipment 13
    Equipment 14
    Equipment 15
    Livestock

    List each species group. Animals valued over $2,000 per head must be individually scheduled under Livestock Mortality.

    Livestock Group 1
    Livestock Group 2
    Livestock Group 3
    Livestock Group 4
    Livestock Group 5
    Livestock Group 6
    Livestock Group 7
    Livestock Group 8
    Hay, Grain & Farm Products
    Product 1

    Required for hay coverage

    Product 2

    Required for hay coverage

    Product 3

    Required for hay coverage

    Product 4

    Required for hay coverage

    Product 5

    Required for hay coverage

    Product 6

    Required for hay coverage

    Farm Liability
    Underwriting Questions
    Farm Auto / Trucks

    Drag your vehicle list here or click to browse
    Excel, CSV, or PDF

      Vehicles
      Vehicle 1
      Vehicle 2
      Vehicle 3
      Vehicle 4
      Vehicle 5
      Vehicle 6
      Vehicle 7
      Vehicle 8
      Vehicle 9
      Vehicle 10
      Drivers
      Driver 1
      Driver 2
      Driver 3
      Driver 4
      Driver 5
      Driver 6
      Driver 7
      Driver 8
      Driver 9
      Driver 10
      ATV / UTV / Watercraft
      Off-Road Unit 1
      Off-Road Unit 2
      Off-Road Unit 3
      Off-Road Unit 4
      Off-Road Unit 5
      Watercraft 1
      Watercraft 2
      Watercraft 3
      Workers Compensation
      H-2A Workers Require Workers Comp. Federal law requires workers compensation coverage for any farm employing H-2A visa workers, regardless of state agricultural exemptions. We will make sure you are properly covered.

      1.00 is baseline. Leave blank if unknown.

      Crop / Hail Insurance
      Federal crop insurance (MPCI) requires an RMA-approved agent. Grit can help with supplemental crop-hail coverage that works alongside your MPCI policy.
      Crop 1
      Crop 2
      Crop 3
      Crop 4
      Crop 5
      Livestock Mortality

      For individually scheduled high-value animals ($2,000+ per head).

      Animal 1
      Animal 2
      Animal 3
      Animal 4
      Animal 5
      Animal 6
      Animal 7
      Animal 8
      Animal 9
      Animal 10
      Pollution / Environmental Liability
      Fuel Storage Tanks
      Tank 1
      Tank 2
      Tank 3
      Tank 4
      Tank 5
      Agritourism Liability
      Hunting / Outfitting Liability
      Custom Farming (Work for Others)
      Umbrella / Excess Liability
      Equipment Breakdown
      Farm Income / Business Interruption
      Upload Documents

      Upload your current policy dec pages, equipment schedules, loss runs, livestock records, structure photos, or any other supporting documents.

      Drag files here or click to browse
      PDF, DOC, XLS, JPG, PNG - max 25MB each

        Additional Information
        Review Summary
        Authorization

        Completion of this application does not constitute the purchase of insurance. No coverage may be added, changed, or bound as a result of submitting this form. All coverage must be confirmed by the agency in writing subject to an acceptable signed application meeting the underwriting guidelines of the insurance company.

        Application Received

        Your farm and ag insurance application has been submitted to the Grit team.

        We will review your information and be in touch within one business day.

        Questions? Call (801) 505-5500

        gritinsurance.com | (801) 505-5500 | Salt Lake City, UT | Park City, UT | Challis, ID