• Boat / Watercraft Insurance

  • What would you like us to do? (our Scope of Service)*
  • Are you:
  • Are you the registered owner of the boat?*
  • Is the policy to be issued in the name of the registered owner?
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  • What date do you want cover effective from?*
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  • Boat / Watercraft Details

  • What type of boat is this?*

  • Will there be any commercial use of the boat?*
  • What kind of commercial use?*

  • Will the boat be raced?*
  • Is the boat:*

  • Type of mooring:*

  • Rows
  • Where is the boat generally kept?*

  • What security does the boat/trailer have?*

  • What do you require cover for?*

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  • What material is the boat made out of?*

  • Rows
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  • Do the above figures include or exclude GST?*
  • Under finance or lease?*

  • General Details

  • Is the boat sound and seaworthy?*
  • Do you belong to a boat club?*
  • Are any fire extinguishers kept on board?*

  • Declaration & Privacy Statement

  • 1.    You authorise the insurer to give and obtain from other Insurance Companies, Insurance Brokers, the Insurance Claims Register Ltd or any other party any information relating to this or any other insurance held or previously held by you, and any claim(s) made by you, and any information you have provided now or previously for the purpose of payment.

    2.    You authorise the insurer to use your personal information to advise of their products and services.

  • Have you read, and understood the above authorisation statements?*

  • Authorisation

  • 1.    You declare that subject to any rights you have under the Clean Slate Act, the information given is in every respect correct and complete and all material information has been disclosed to us.

    2.    You declare that the information contained in this document shall be the basis of the contract between you and the insurer, and you are willing to accept cover subject to their policy terms, conditions, exclusions and any special terms that they may require.

  • Have you read, and understood the above declaration statements?*

  • Please click here to open our Scope of Service.

  • Is there anything else you would like assistance with? (we will contact you)

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