Get a Quote: Marine Insurance

1Your Details

2Vessel Details

3Usage & General Questions

4Declaration & Submission

Broker Details
Broker ID*
Broker Email*
Your Details
Policyholder*
- Policy to be in name of Individual(s)
- Policy to be in name of Company or Organisation
Name of Company or Organisation*
Your Details
Title*
First Name*
Middle Name(s)
Last Name*
Date of Birth*
Nationality*

Occupation*

Employer's Business*

Phone Number*

Email*

Postcode Lookup
Home Address*
Postcode*
Island*
Do you have any co-owners or require joint Policyholders named on the policy?*
- Yes
- No

Please provide details of any co-owners and joint policyholders

Click the button below to add further co-owners/joint policyholders.

Title	First Name	Middle Name(s)	Last Name	Date of Birth	Occupation	Employer's Business	Status	Experience with this class of craft	Experience boating in general	Marine Qualifications	Actions

There are no Policyholders.

Your Experience
Experience with this class of craft*
Experience with boating in general*
Marine Qualifications*

Vessel Details

Vessel Type*

Vessel Type (Other)*

Manufacturer*

Manufacturer (Other)*

Model*

Vessel Registered Name*

Registration Number*

Port of Registry*

Year of Build*

Last Survey Undertaken*
Survey Status
- N/A as vessel under 20 years or no survey
Hull Construction*
Hull Construction (Other)*
Length of vessel*
Please specify feet/metres.
Main Engine Details

Number of Engines*

Engine Type*

Year of Manufacture*

HP of Engine*

Engine Make*

Engine Make (Other)*

Engine Fuel*

Serial Number*

Max Designed Speed in Knots*

Please enter a number greater than or equal to 0.

Auxiliary Engine Details

Number of Engines*

Engine Type*

Year of Manufacture*

HP of Engine*

Engine Make*

Engine Make (Other)*

Engine Fuel*

Max Designed Speed in Knots*
Please enter a number greater than or equal to 0.
Fire Extinguishers

Handheld*

Remote*

Built Into Galley*

Built Into Engine Room*

Fire Safety Stick purchased and on-board*
If Yes please forward a copy of the purchase receipt for the Insurance discount.
- Yes
- No
Tender Information
Tender Type
Tender Maximum Speed in Knots
Please enter a number greater than or equal to 0.
Tender Year
Breakdown of Sums Insured

Hull, Machinery Gear and Equipment*

Outboard Motor(s)*

Auxiliary Engine(s)*

Trailer*

Navigation Equipment*

Tender / Dinghy*

Liferaft*

Personal Effects*

Total
Purchase Price*
If purchase price is different to total sum insured please state reason
Please provide details of any financial interest/mortgagees*
Purchase Date*
DD slash MM slash YYYY

Name	Date of incident	What happened?	Name of Insurer	Actions

There are no Claims.

Broker Details

Your Details

Your Details

Your Experience

Vessel Details

Main Engine Details

Auxiliary Engine Details

Fire Extinguishers

Tender Information

Breakdown of Sums Insured

In Commission Details

Laid Up Period

Use

Previous Insurance

General Questions