Watercraft & Boat Insurance Quote

Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.

Personal Information

First Name

Required

Last Name

Required

Street

Required

City

Required

State

Required

ZIP / Postal Code

Required

Do you own or rent your home?

Required

E-Mail Address

Required

Primary Phone Number

Required

Marital Status

Required

Gender

Required

Date of Birth

Required

Watercraft Information

Year

Required

Make

Required

Model

Required

HIN #

Optional

Length (feet)

Optional

Hull Material

Required

Number of Motors

Required

Total Horsepower

Required

Propulsion Type

Required

Does the Boat/PWC have an exposed engine?

Optional

Is Engine or Outdrive modified for enhanced performance?

Optional

Maximum Speed

Required

Would you like to insure your trailer?

Optional

Market Value of watercraft (include trailer if you like to insure)

Optional

Purchase Year

Optional

Are you the original owner?

Required

Where is the boat stored?

Required

Estimated Value

Optional

Driver Information

How many years boating experience do you have?

Required

Do you have any major violations (5yrs), accidents or minor violations (3yrs), comprehensive or collision claims (3yrs)?

Required

Will there be additional drivers?

Required

If yes, please list name, date of birth, & marital status.

Optional

Does this driver have any major violations (5yrs), accidents or minor violations (3yrs), comprehensive or collision claims (3yrs)?

Optional

Other Information

Do you currently have insurance?

Required

Current Insurance Provider

Optional

Current Policy End Date

Optional

Do you belong to any of the following associations?

Optional

US Power Squadron
USAA Member
USCG Auxiliary

How did you hear about us?

Optional

Submission Validation

Required

Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.

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