Boat Form

Boat & Watercraft Quote

Get a free Boat or Watercraft quote for Pleasurecraft or Commercial Boat Insurance and we will get back to you during business hours 9am to 5pm Monday to Friday.

We use a wide range of insurers not just one. Quotes are free and their is no obligation to proceed.
General Type of Watercraft*

Sailing BoatRunaboutBowriderWake BoatMultihullJet SkiPaddleCommercial FishingPuntOther- As detailed in Notes at end
Due Date*

MonthDayYear
Date
Make of Watercraft*
e.g. Honda
Model*
Hull Identification Number*
Construction of Hull*

Fibreglass HullAluminium HullWooden HullSteel HullOther as per notes at end
Motor Make*
Motor Type*

SterndriveOutboardJetInboard Mid MountInboard Rear Mount
Year Built*
Top Speed (Knots)*

0-20 knots = 0-37 km/h21-60 knots = 38-110 km/h61-80 knots = 111-150 km/h81+ knots = 150+ km/h
Sum Insured *
Storage Method*

On Trailer - Private Residence (off street)Private Pontoon/JettyStreet ParkedTrailer Commercial PremisesAir DockBoat TrolleyCradle / Hard StandStack / Dry Rack StorageOther as per notes at end
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Previous Boating Experience*

0-5 Years6-15 Years16-25 Years25+ Years
Claims History & Convictions*

I have NOT had a boat or watercraft claim in the last 5 years.I have HAD boat or watercraft claims in the last 5 years.I have NOT had other insurance claims in the last 5 yearsI have HAD other insurance claims in the last 5 yearsNo Criminal Convictions in the last 10 years.I have had a conviction in the last 10 years.Other
Trailer Year Built
If Applicable
Trailer Make
If Applicable
Trailer Registration
If Applicable
Is Water Skiers Liability Required?*

YesNo
Additional details you can provide
Owner or Insured Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Email Address*
Mobile
Phone Number

Area CodePhone Number
Please click the links below to read our Privacy Statement and the Duty of Disclosure Statement.

Privacy Statement & Financial Services Guide Your Duty of Disclosure
I have read and understood the Privacy Statement and my Duty of Disclosure and I have not withheld any information in relation to the insurance. If in doubt please discuss with us. I understand the policy wording will be made available with the quote.
Click on the links above to read your Duty of Disclosure & our Privacy policy. In plain english you need to tell the truth and all that is relevant, and we will only use your personal information to help you obtain insurance.*

Yes I understand and agree.
Any questions or queries, call us on 02 6555 5022 to check personally, we would love to hear from you.
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