Quote Request

Date of Birth

ENGINE(s)

Tender Coverage

Occupation

Length overall

Purchase amount

VESSEL

DETAILS

Citizenship

Purchase Date

Mast Material

Aluminum

Carbon Fiber

Wood

None

Other

USE

Expiration date

Thank you for filling out the on-line quote request. I'll send your information to the underwriters right away. It usually takes 1-2 business days to receive a quote.

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Mexican Liability
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IWIS

international Waters Insurance Services

Fume Detector

OWNER(s)

Builder or Brand

Hull Deductible (excess)

Operator Names

Maximum Speed

Years Boating Experience

Engine Manufacturer

Choose your agent:

No preference

Laura

Cat

Susan

Hull ID

Have you had your license suspended, canceled, revoked, or barred?

Marital Status

COVERAGE REQUESTED

Boating License held?

Tender

Hull Sum Insured

USE

Boat Name

Other Safety Equipment

Anti-Theft Tracking Device

Liability Limit

Engine HP

Model Year

Boats Owned 1:

Claim Details

Boat's current location

E-mail address *

Name on Title *

Boats Operated (if different from above)

Medical Payments

Lay-up Period

Boating courses completed

Residence is...

Years Ownership Experience

Personal Property

Model or Rig

Current insurance company

Planned location for Hurricane or Cyclone seaon

Fire Extinguishers

Manual

Fully Automatic Halon

None

Outboard

Boats Owned 2:

Driver’s license # & state

Full mailing address

Flag

Fuel

Phone

Boating related claims?

Do you have a recent survey?

Fields with an * are required.

Sorry about the rather personal questions - underwriters do seem to ask a lot of them these days!

We have combined questions from all our underwriters into one form, so that we don't have to keep coming back to you for more information. It is a bit lengthy, but will save you time in the long run.

City, State, Zip Code

Total Investment

Navigation Area

Construction

Fiberglass

Carbon Fiber

Aluminum

Steel

Wood

Epoxy over wood

Other

EQUIPMENT

Has any operator been convicted of a criminal offense or felony (including DUI)?

Click to attach your survey, resume or other documents

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Comments

Number of paid crew

Engine Quantity

Engine Year

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