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Boat & Watercraft Insurance Quote
Website Administrator
2019-06-19T14:59:30-04:00
BOAT & WATERCRAFT INSURANCE
First name
*
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*
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*
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Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Birthdate
*
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Drivers license number
*
Occupation
*
Social security number
*
Did you have any tickets or accidents in the last 5 years?
*
Yes
No
If yes, please provide a brief summary of any tickets or accidents
Have you completed any boating safety courses
*
Yes
No
If yes, which specific course(s)
Years of boating experience
Requested start date for your watercraft policy
*
MM slash DD slash YYYY
Do you have insurance on your watercraft currently
*
Yes
No
Are there any other watercraft operators in your household
*
Yes
No
Preferred payment option
*
Monthly
Quarterly
Paid in Full (Discount)
Are you a member of any groups or organizations qualifying for a discount
*
None
AARP
MBIA Members & Employees
Great Lakes Boating Federation
MEA
MI Steelheaders/Salmon Assoc
USCG Auxiliary
USPS Member
Public & Safety Officials
Yacht Club Member
Do you want us to quote a multi-policy discount
*
Yes - Homeowner
Yes - Condo Owner
Yes - Renter
No
Number of additional operators to be covered by this policy
*
0
1
2
3
4
5
6
Additional Operator 1
Full Name
*
First
Last
Birthdate
*
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1926
1925
1924
1923
1922
1921
1920
Drivers license number
Did this driver have any tickets or accidents in the last 5 years?
*
Yes
No
I don't know
If yes, please provide a brief summary of any tickets or accidents
Years of boating experience
Additional Operator 2
Full Name
*
First
Last
Birthdate
*
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1928
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1926
1925
1924
1923
1922
1921
1920
Drivers license number
Did this driver have any tickets or accidents in the last 5 years?
*
Yes
No
I don't know
If yes, please provide a brief summary of any tickets or accidents
Years of boating experience
Additional Operator 3
Full Name
*
First
Last
Birthdate
*
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1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Drivers license number
Did this driver have any tickets or accidents in the last 5 years?
*
Yes
No
I don't know
If yes, please provide a brief summary of any tickets or accidents
Years of boating experience
Additional Operator 4
Full Name
*
First
Last
Birthdate
*
MM
1
2
3
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5
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1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Drivers license number
Did this driver have any tickets or accidents in the last 5 years?
*
Yes
No
I don't know
If yes, please provide a brief summary of any tickets or accidents
Years of boating experience
Additional Operator 5
Full Name
*
First
Last
Birthdate
*
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
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5
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30
31
YY
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Drivers license number
Did this driver have any tickets or accidents in the last 5 years?
*
Yes
No
I don't know
If yes, please provide a brief summary of any tickets or accidents
Years of boating experience
Additional Operator 6
Full Name
*
First
Last
Birthdate
*
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
4
5
6
7
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30
31
YY
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
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1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Drivers license number
Did this driver have any tickets or accidents in the last 5 years?
*
Yes
No
I don't know
If yes, please provide a brief summary of any tickets or accidents
Years of boating experience
Number of watercraft to be covered by this policy
*
1
2
3
4
Watercraft 1
Type of Watercraft
*
Watercraft Value
*
Year
*
Manufacturer
*
Model
*
Length
*
Propulsion System
*
None
Inboard
Inboard-Outdrive
Outboard
Fuel
Gas
Diesel
Total Horsepower
*
Maximum Speed
*
Hull Material
Aluminum
Fiberglass
Steel
Wood
Other
Hull Identification Number
Navigation and safety equipment
VHF Radio
Radar
Bow Thruster
GPS (or Loran)
Depth Sounder
Built-In Fire Extinguishing System
Primary Operator
*
Use
*
Please Select
Pleasure
Fishing
Sailing
Charter
Any water sports (skiing, tubing)
*
Yes
No
Where is the watercraft kept during season
*
Residence
Marina
Other
If other, please explain:
Has this watercraft ever been damaged
*
Yes
No
If yes, please describe any previous damage
Physical Damage Deductible
*
No Coverage
$250 Deductible
$500 Deductible
$1000 Deductible
Liability
*
$100,000
$300,000
$500,000
$1,000,000
Type of liability
Water sports liability
Pollution liability
Wreck removal
Auxiliary Equipment
*
Yes
No
Auxiliary Equipment Value
Personal Property (fishing equipment, water skis & toys, etc.)
*
Yes
No
Personal Property Value
Emergency Assistance
*
Not Desired
$500
$1,000
Maximum Benefits
Trailer Coverage
*
Yes
No
Trailer Value
Boat lifts, cradles, or hoist coverage
*
Yes
No
Value
Watercraft 2
Type of Watercraft
*
Watercraft Value
*
Year
*
Manufacturer
*
Model
*
Length
*
Propulsion System
*
None
Inboard
Inboard-Outdrive
Outboard
Fuel
Gas
Diesel
Total Horsepower
*
Maximum Speed
*
Hull Material
Aluminum
Fiberglass
Steel
Wood
Other
Hull Identification Number
Navigation and safety equipment
VHF Radio
Radar
Bow Thruster
GPS (or Loran)
Depth Sounder
Built-In Fire Extinguishing System
Primary Operator
*
Use
*
Please Select
Pleasure
Fishing
Sailing
Charter
Any water sports (skiing, tubing)
*
Yes
No
Where is the watercraft kept during season
*
Residence
Marina
Other
If other, please explain:
Has this watercraft ever been damaged
*
Yes
No
If yes, please describe any previous damage
Physical Damage Deductible
*
No Coverage
$250 Deductible
$500 Deductible
$1000 Deductible
Liability
*
$100,000
$300,000
$500,000
$1,000,000
Type of liability
Water sports liability
Pollution liability
Wreck removal
Auxiliary Equipment
*
Yes
No
Auxiliary Equipment Value
Personal Property (fishing equipment, water skis & toys, etc.)
*
Yes
No
Personal Property Value
Emergency Assistance
*
Not Desired
$500
$1,000
Maximum Benefits
Trailer Coverage
*
Yes
No
Trailer Value
Boat lifts, cradles, or hoist coverage
*
Yes
No
Value
Watercraft 3
Type of Watercraft
*
Watercraft Value
*
Year
*
Manufacturer
*
Model
*
Length
*
Propulsion System
*
None
Inboard
Inboard-Outdrive
Outboard
Fuel
Gas
Diesel
Total Horsepower
*
Maximum Speed
*
Hull Material
Aluminum
Fiberglass
Steel
Wood
Other
Hull Identification Number
Navigation and safety equipment
VHF Radio
Radar
Bow Thruster
GPS (or Loran)
Depth Sounder
Built-In Fire Extinguishing System
Primary Operator
*
Use
*
Please Select
Pleasure
Fishing
Sailing
Charter
Any water sports (skiing, tubing)
*
Yes
No
Where is the watercraft kept during season
*
Residence
Marina
Other
If other, please explain:
Has this watercraft ever been damaged
*
Yes
No
If yes, please describe any previous damage
Physical Damage Deductible
*
No Coverage
$250 Deductible
$500 Deductible
$1000 Deductible
Liability
*
$100,000
$300,000
$500,000
$1,000,000
Type of liability
Water sports liability
Pollution liability
Wreck removal
Auxiliary Equipment
*
Yes
No
Auxiliary Equipment Value
Personal Property (fishing equipment, water skis & toys, etc.)
*
Yes
No
Personal Property Value
Emergency Assistance
*
Not Desired
$500
$1,000
Maximum Benefits
Trailer Coverage
*
Yes
No
Trailer Value
Boat lifts, cradles, or hoist coverage
*
Yes
No
Value
Watercraft 4
Type of Watercraft
*
Watercraft Value
*
Year
*
Manufacturer
*
Model
*
Length
*
Propulsion System
*
None
Inboard
Inboard-Outdrive
Outboard
Fuel
Gas
Diesel
Total Horsepower
*
Maximum Speed
*
Hull Material
Aluminum
Fiberglass
Steel
Wood
Other
Hull Identification Number
Navigation and safety equipment
VHF Radio
Radar
Bow Thruster
GPS (or Loran)
Depth Sounder
Built-In Fire Extinguishing System
Primary Operator
*
Use
*
Please Select
Pleasure
Fishing
Sailing
Charter
Any water sports (skiing, tubing)
*
Yes
No
Where is the watercraft kept during season
*
Residence
Marina
Other
If other, please explain:
Has this watercraft ever been damaged
*
Yes
No
If yes, please describe any previous damage
Physical Damage Deductible
*
No Coverage
$250 Deductible
$500 Deductible
$1000 Deductible
Liability
*
$100,000
$300,000
$500,000
$1,000,000
Type of liability
Water sports liability
Pollution liability
Wreck removal
Auxiliary Equipment
*
Yes
No
Auxiliary Equipment Value
Personal Property (fishing equipment, water skis & toys, etc.)
*
Yes
No
Personal Property Value
Emergency Assistance
*
Not Desired
$500
$1,000
Maximum Benefits
Trailer Coverage
*
Yes
No
Trailer Value
Boat lifts, cradles, or hoist coverage
*
Yes
No
Value
How did you hear about us
*
Referral
Google Ad
Internet Search
Current Client
Former Client
Other
If you were referred by a client, please let us know who referred you
Δ
Questions?
Give us a call at
616-454-5677
.
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