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Marine Pleasure Craft Application

Please complete and submit this application form to receive your pleasure craft insurance quote. Fill in all fields, entering N/A if not applicable. 

Boating Education & Courses (Check All That Apply)
How Many Boating Losses Has the Applicant Had in the Past 5 Years?
Type of Loss
Type of Loss
Type of Loss
Has Insurance Ever Been Cancelled or Refused?
If Yes, Provide Details
How Many Minor Automobile Violations by the Applicant in the Last 3 Years?
How Many Major Automobile Violations by the Applicant in the Last 3 Years? (Impaired, Dangerous, Reckless, Excessive Speeding, etc.)
How Many At-fault Claims or Accidents by the Applicant in the Last 3 Years?
Select Vessel and Property Use
Is the Vessel Used as Live Aboard?
Is the Vessel Canadian Registered/Licenced?
The Applicant Hereby Attests That the Vessel Will Be Registered / Licensed as Required by Law Within 30 Days
Category / Class of Vessel
Does the Vessel Have a Full Galley (Full Kitchen)?
Does the Vessel Have Full Height Standing Room in the Cabin?
Hull Construction
Where is the vessel and property used? Select your requested navigation limits to be incorporated into the policy agreement. Select multiple if applicable. Do NOT skip this section.
Where is the Vessel Kept When Not in Use – During the Boating Season?
Where is the Vessel Kept When Not in Use – During the Off-season?
P&I (Liability) Limit
Surveyed (Pease Attach)
Upload File
Upload File
Upload File

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