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About
Services
Policy Information
Policy Wordings
Recycling
Quotes
Claims
Common Area Liability
Contact us
Water Craft Quote Request Form
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Contact Details
Name
*
First
Last
Address
Address Line 1
City
State / Province / Region
Postal Code
Phone
Email
*
General Information
Is the water craft you wish to insure located outside of Australia?
Yes
No
Has the water craft been privately imported from outside Australia?
Yes
No
Is your hull or motor modified or performance enhanced in any way?
Yes
No
Have you had the water craft uninsured for the past 12 months?
Yes
No
Is the vessel, or will it be under construction or undergoing major refit?
Yes
No
Interested Party/Finance Company to be noted on the policy:
Is the boat used for official and/or organised racing and/or speed Trials?
Yes
No
If Yes, please provide details:
What is the Maximum distance required for any one race? (Nautical Miles)
Water Craft Details
What Type of Watercraft do you require cover on?
Runabout/Trailerable Power Boat
Personal Water Craft (Jetski)
Moored stock production power boat (cruiser)
Moored non-stock production power boat (cruiser)
Moored stock production sailboat (Yacht)
Moored non-stock production sailboat (Yacht)
Trailer Sailer
Off beach sailing multihull/Sailing Dingy
Number of Hulls
Monohull
Multihull
Build
Stock Production
Professional Custom Built
Owner Built
Kit Built
Year Built
Make & Model
Length
Construction: i.e. Fibreglass
H.I.N Number
Boat Name
Has your Boat been Surveyed?
Yes
No
Date of last survey:
Please attach a copy of the last Survey
Upload Survey here if applicable.
Click or drag a file to this area to upload.
Maximum Speed of the watercraft (In knots)
Fire Extinguishers:
None
Manual
Automatic
Does the boat have any equipment/accessories to be insured? Please list them and their individual values:
Please advise what months (if any) you would like Lay-Up cover for your watercraft
January
February
March
April
May
June
July
August
September
October
November
December
Motor Details
Motor Mount
Mid
Rear
Other
If "Other", please advise
Type of Motor
Inboard
Outboard
Stern Drive
Jet
Other
If "Other", please advise
Fuel Type
Petrol
Diesel
Turbo Charged
Yes
No
Number of Motors
Year Built
Make & Model
Serial Number
Power (HP)
Trailer Details: Below section to be completed for trailerable craft only.
Year Built
Make & Model
Registration Number
Length
How is the Boat Stored? i.e. on a trailer at a private residence
Storage Address
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Mooring Details: Below Section to be completed for Moored Craft only
Type of Mooring:
Mooring Address
Do you require land transit cover?
Yes
No
Yacht/Sail craft Only
Mast Construction
Age of Mast
Date last inspected
Rigging Type
Number of Spreaders
Type of Spreaders
Running Backstrays?
Age of Rig
Number of Sails
Sail Material
Age of Sails
Date last inspected
Reg/Sail Number:
Watercraft Usage
How is the watercraft used?
Private Use
Business Use
If the boat is used commercial please advise, the number of passangers, whether food & drink is provided and is there an onboard skipper.
Previous Insurance Details
Who is your Current Insurer
Whats is the current premium payable?
What is the current policy Excess
What date do you require cover to start?
Submit
Secure online payment
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Common area liability
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Freight Insurance Services
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Recyle
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