Boat Insurance Quote Worksheet

The boat

Year, make & model

Length (ft)

Type (bass, cruiser, pontoon, sail…)

Hull ID number (HIN)

Hull value / purchase price

Engine(s) — make / HP / fuel

Engine year

Trailer — year / value

Equipment and electronics on board (item and value)

Operators, use & coverage

Operator 1 — full name

Operator 1 — date of birth

Operator 1 — years boating

Operator 1 — boater safety course?

Operator 2 — name, date of birth, years boating (if any)

Waters used (lakes, rivers, coastal)

Main use

Stored where (marina, home, storage facility)

Lay-up months (out of water)

Marina name and city (if kept in water)

Distance from coast (if coastal)

Current insurer

Current premium

Loan / lienholder?

Renewal date

Claims, accidents or losses in the last 5 years — what, when, amount

Where should we send your quote?

First name

Last name

Email

Phone

This worksheet asks for dates of birth and driver's license details because carriers require them to prepare an accurate quote. Never enter a Social Security number — we will never ask for one here. Your information is used only to prepare your quote.

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The boat

Operators, use & coverage

Where should we send your quote?

Worksheet received.