Marine Insurance Quote

To obtain an insurance quote for your recreational vessel, please complete our online questionnaire below and allow 2-3 business days for a reply. Alternatively, you can download a PDF copy of our application here:
Pleasurecraft (Boat) Application

The information that you provide in this questionnaire will be used to determine your premiums and eligibility for insurance, and you are responsible for the accuracy of the answers you provide. If you falsely describe or fraudulently omit any fact that is material to the insurance company in order for it to be able to judge the risk, your insurance policy may be void. Please ensure that you fully understand the answers that you are providing when completing this questionnaire; if you are unsure of some of these details, we strongly recommend that you obtain  professional advice. You are welcome to contact our office with any questions you have about this questionnaire.

Please note, email is not a secure method of transmitting sensitive personal information and by using this service you accept this risk. If you are concerned, you may use an alternative method.

This request form will take 10-15 minutes to complete and includes three sections. Please have the following information ready in order to complete the form:

• Marine survey (optional)
• Main motor serial number (required)
• Auxiliary motor serial number (if applicable)
• VIN of boat trailer (if applicable)
• Serial number of tender/dighy (if applicable)
• Name(s) and qualifications of any additional vessel operators (if applicable)
• Up to 3 photos of the vessel (optional)

Please enable JavaScript in your browser to complete this form.

– Step 1 of 3

OPERATOR(S) INFORMATION:

Name *

First

Last

Date of Birth *

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Phone *

Occupation *

Email *

Email

Confirm Email

Mailing Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountry

Years as Owner *

Years as Operator *

Size of Boats Operated *

Power Squadron *

• Yes
• No

Will there be other operators of the vessel? *

• Yes
• No

Other Operators:

Name *

First

Last

Age *

Years at Operator *

Size of Boats Operated *

Add Remove

List all accidents or claims in the past five years (IF ANY). Include: Date / Amount / Details

Any Criminal Code charges or convictions related to driving / boating: *

• Yes
• No

Please describe charges or convictions: *

Previous Insurer (if any):

Coverage effective:

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Loss Payable (if registered lienholder, include full name and address):

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DETAILS OF THE VESSEL:

Vessel Type: *— Select Choice —Inboard/OutboardOutboardInboardSailboatJet DriveHouseboatPontoonInflatableOther

If Other, what type of vessel is it *

Hull type: *— Select Choice —FibreglassWoodPlywoodFiberglass over woodSteelAluminumOther

If Other, what is hull type *

Hull details

Year *

Make *

Model *

Length / HP *

Serial Number *

Engine (Main)

Year *

Make *

Model *

Length / HP *

Serial Number *

Check all additional items included in this application: *

• None
• Engine (Auxiliary)
• Tender
• Trailer
• Other

Engine (Auxiliary), if applicable

Year *

Make *

Model *

Length / HP *

Serial Number *

Tender, if applicable

Year *

Make *

Model *

Length / HP *

Serial Number *

Trailer, if applicable

Year *

Make *

Model *

Length *

Serial Number *

Other (if applicable)

Additional item *

Model *

Year *

Make *

Length / HP *

Serial Number *

Fuel *

Stove type (if applicable)

Fridge type (if applicable)

Maximum speed (mph) *

Is this vessel used as a live-aboard? *

• Yes
• No

Strictly Pleasure Use only? *

• Yes
• No

Describe any non-pleasure / commercial / business / charter use: *

Do you have a recent Marine Survey? *

• Yes
• No

When? *

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Surveyor: *

Please upload Marine Survey here:

Drag & Drop Files, Choose Files to Upload

Where principally used (be specific): *

Is Vessel moored? *

• Yes
• No

Where is Vessel normally moored? *

Where laid up (land storage): *

Security measures (describe, if applicable):

Type of Anti-Theft Device used (if applicable):

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VESSEL PURCHASE PRICE AND VALUES:

Purchased in: *

• Canada
• USA

Coverage for transit from US required (if new purchase)? *

• Yes
• No

Purchase Date: *

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From Where? *

I would like a quote for the following (CHOOSE ALL THAT APPLY): *

• HULL & MACHINERY (includes main motor if not outboard, and permanent electronics)
• OUTBOARD ENGINE
• AUXILIARY ENGINE
• DINGHY / TENDER
• TRAILER
• BOATHOUSE
• PERSONAL EFFECTS (includes unattached equipment, downriggers and fishing gear, etc)
• PROTECTION & INDEMNITY (liability)

HULL & MACHINERY

Original Purchase Price *

Current Market Value *

OUTBOARD ENGINE

Original Purchase Price *

Current Market Value *

AUXILIARY ENGINE

Original Purchase Price *

Current Market Value *

DINGHY / TENDER

Original Purchase Price *

Current Market Value *

TRAILER

Original Purchase Price *

Current Market Value *

BOATHOUSE

Original Purchase Price *

Current Market Value *

PERSONAL EFFECTS

Original Purchase Price *

Current Market Value *

From OPERATOR(S) a

PROTECTION & INDEMNITY

Liability limit requested$1 million$2 million$3 million

TERMS AND CONDITIONS *

• I agree to the conditions below.

I understand that the information set forth is correct and shall be the basis upon which insurance may be granted. Completion of this application does not bind the applicant to accept the quotation nor does it bind the insurer to accept the risk. The applicants agree that reports containing personal, credit, factual record, premium payment or claims history may be sought or exchanged in connection with this application for insurance or renewal, extension, variation or cancellation thereof.

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