[email protected]
1300 669 664
NEWS
Home
Insurance
Business Insurance Quotes
Public Liability Insurance
Truck, Plant & Equipment Insurance
Commercial Property Quote Form
Management Liability
Home and Contents Insurance
Private Motor Insurance
Boat Insurance
Business Interruption Insurance
Business Insurance Form Complete
Income Protection Insurance
All Other Insurances
Industry
About
Contact
Lodge a Claim
Recruitment/Become an AR
Recruitment
Become An Authorised Representative
GET A QUOTE
1300 669 664
Boat Insurance Quote Form
Complete our form to get quotes from multiple boat insurers
1
Personal Information
2
Vessel Information
Vehicle 1
Type of Cover Required
*
Market Value
Agreed Value
Third Party Cover
Boat Use
*
Private Use
Hire/Charter
Demonstration
Stock Afloat
Other
Insured Name
*
First
Last
Overnight Parking/Mooring Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Date of Birth
*
Occupation
*
Year Built
*
Boat or Car Drivers License No.
*
Drivers License Expiry Date
*
Interested Parties
Phone Number
*
Email
*
Are You Registered For GST?
*
Yes
No
ABN Number
Registered Business Name
Details of Any Boating Courses You Have Done
Have you ever had any insurance refused or cancelled?
*
Yes
No
Have you had any boat or any theft claims in the last 5 years?
*
Yes
No
Have you been convicted of any offence in the last 5 years?
*
Yes
No
Date you would want cover to start from?
*
Hull
*
Mono
Catamaran
Trimaran
Other
Type
Make
Model
Year Built
Lenth In FT
*
Rego/Sail number
Construction Material
Max Speed In Knots
Hin Number
Motor/s
Make
No. of Engines
Engine 1
Serial No.
Year
Motor/s HP
Engine 2
Serial No.
Year
Motor/s HP
Type of Motor
Inboard
Outboard
Stern Drive
Jet
Inboard Runabout
Rear Mount
Mid Mount
Fuel
Petrol
Diesel
Gas
Sailboats Only - Mast, Spars and Rigging
Running Backstays
Yes
No
Inline Spreaders
Yes
No
Sweptback Spreaders 3 or More
Yes
No
Carbon Mast
Yes
No
Rod Rigged
Yes
No
Legal Liability
*
$5 million
$10 Million
Other
Do you require water skiing liability cover?
*
Yes
No
Commercial Vessels Only: No. of Passengers?
Commercial Vessels Only: Skippered?
Yes
No
Commercial Vessels Only: Is food and drinked required?
Yes
No
We offer finance broking as one of our services. Do you require pricing on any loans or finance?
*
Yes
No
What type of finance do you require?
*
Home Loan
Home Loan Refinancing, let's see if we can get you a better deal
Car Finance
Truck and Commercial Vehicle Finance
Equipment Finance
Boat or Jet Ski Finance
Personal Loan
Commercial Loan
Caravan, Camper, Motorhome or RV Finance
I Require Other Finance That Is Not Listed
Additional Comments
(Optional) Upload Existing Insurance Documents or Proposal Form
Accepted file types: pdf, jpg, png, doc, docx, xls, xlsx, Max. file size: 16 MB.
keyboard_arrow_up
Menu