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CoverMyYacht.com / Boat Insurance Application
----------- Personal Information -----------
** Required Fields
** E-Mail
** Full Name
** Telephone
Fax
Address
City
State
-----------------------------------
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----------- Boat Information -----------
Please complete as much information as possible
Years of boating experience:
Vessels Length and Makes:
Active Boating safety course or License w/Certificate:
Yes
No
Any claims?:
Yes
No
Navigational Area:
Please Select
Florida
Atlantic
Gulf
Bahamas
Inland
Non-Tidal Waters
If yes what happened?:
Date / accident / claim $
Year, Make, Model & Length of Boat:
Primary Storage Location:
Include Address Zip and storage type
Is it used as a full time residence - Used as Live Aboard?:
Yes
No
Date purchased?:
Value of your boat:
Engine year: :
HP:
# of motors:
Engine Make:
Type:
IO
IB
OB
Jet
Fuel Type:
Trailer Year:
Value:
Trailer Make:
Liability Limits and Coverage Requested:
Type of use?:
Personal
Commercial
Charter
Additional Notes:
Please note:
All submissions and quotes are non-binding.
BOATS, YACHTS & PERSONAL WATER CRAFT
INSURANCE COVERAGES & FEATURES
FREQUENTLY ASKED QUESTIONS
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