Watercraft Insurance Quote

Rec Specialty Watercraft Insurance Quote

Fields in bold are required

Vessel Owner Information

First Name

Last Name

Phone

Email

Street Address

City

State

Zip

Date of Birth (MM/DD/YY)

SSN/FEIN

Marital Status

Years of Boat Ownership

Have you ever owned or operated a boat?

If yes, what is the make, model, and length of the most recent vessel you have owned or operated?

Have you ever had any any boating accidents or boating insurance claims?

If yes, please explain:

Are you an America's Boating Club Member?

Vessel and Engine information

Manufacturer

Model

Year

Length

Purchase Year

Purchase Price

Does purchase price include trailer?

Previously Untitled?

Engine Type

Fuel Type

Number of Engines

Max HP per Engine

Mooring Address or Marina Name

Mooring Zip

What will be the primary use for this vessel?

Agent or Dealer Information

Agent or Dealer Business Name

Agent or Dealer Contact Name

Agent or Dealer City

Agent or Dealer State

Agent or Dealer Zip

Agent or Dealer Phone

Agent or Dealer Email

Insurance Coverage Requested

Hull and Machinery Value

Trailer Value

Dinghy/Tender Value

Liability Limit

Deductible

Supporting Documentation

Please upload your purchase agreement (jpg or pdf only)

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