Yacht Application Form

Quick Quote Form

Get Yacht Insurance Quotes From Multiple Carriers Today
Please feel free to call us anytime at 843-276-1608 , or email hugo@hanhaminsurance.com to speak with a yacht insurance expert
Name*

First NameLast Name
E-mail*
Phone Number
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth
Vessel Information
Vessel Builder/Model/Year
Approximate Max Speed (knots)
How Many Engines?
Engine Make
H.P. (Each Engine)
Approximate Purchase Date
Purchase Price USD
Requested Insured Value USD
Tender Value
Do You Employ Crew?
Does the vessel charter
Vessel Navigation
Primary Mooring Location
Hurricane Season Location
Approximate cruising plans for the next 12 Months?
Does the vessel lay up? If so where and what dates?
Owner Experience
What Watercraft have you owned OR operated previously & for how long? Please specify (I.E. Owned Lagoon 450 - 4 yrs, Operated Lagoon 450 - 2 Yrs)
Please tell us more about your boating experience. The more we know, the better we can negotiate for you.
Misc.
Have you ever been convicted of a criminal offense or pleased no contest to a criminal offense?
Has Your Insurance Even Been Cancelled?
Have you had any claims? If so approximately what date, what happened, and how much was the claim?
Anything Else You Would Like Us To Know? The more we know, the better we can negotiate on your behalf.
How did you hear about us? We always like to thank anyone who refers boaters to us. Thanks!
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