Get a Marine Watercraft Insurance Quote. It’s easy.

Get ready to go boating! We just need some basic information from you to get started. We want to get you the best quote we can. The information below is necessary to provide the most accurate Marine Insurance quote. Please complete as much of the following form as possible. Due to the complexity of rating in the industry at this time we encourage you to call to discuss your insurance coverage and options directly.

For a Marine Insurance Quote: Fax a copy of your existing marine policy coverage page to us at 508.385.5991 or use the on-line form below:

Fill out this Marine Insurance Quote Request Form
*Owner’s Name:
Contact Phone:

Mailing Address:
Completed Mooring Info:
Where is vessel kept in the Summer?
Where is vessel kept in the Winter?
Vessel is laid up from when to when?
Boating Education:
U.S. Power Squadron Course?
U.S. Coast Guard Auxiliary Course?


Vessel Description:
Primary use of vessel?

What year was vessel built?
Vessel Manufacturer?
Vessel length?
Vessel Model?
Number of Engines:
Engine Type:

Engine manufacturer:
Horsepower per Engine:
Fuel Type:
Auto Halon:
Fume Detector:
Survey Available?

Navigation Area:
Date Purchased:
Purchase Price:
Vessel Top Speed (KTS):
Vessel Top Speed (MPH):

Value you would like vessel hull insured at:
Value you would like vessel engine insured at:
Would you like physical damage coverage for a trailer?
If so, value?
Boating Experience:
Years of boating experience:
Years as a boat owner:
Types of boats owned:
Previous Insurance Information:
Owner’s last or current boat insurance company:
Boat insurance cancelled or refused?
If so please give details:

Boat insurance claims in the last 5 years?
Details and dates if so:

Any special requirements?
Submit Your Information

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