Pleasure Craft Form

Contact Us
  • Looking for a quick quote? Please fill in the compulsory fields * and we will provide you with an indication. Please note the remainder of the form may be required to provide formal terms or cover.
  • Contact Details
  • DD slash MM slash YYYY
  • Cover is subject to Underwriter acceptance however may commence from the date requested and submitted.
  • Is the Customer/You within the Target Market for this Product?
  • It is important that our insurance policies are only sold to customers that are inside our target market.
  • If you answer ‘yes’ to any of the following the proposed customer is outside our target market.
  • Is the vessel(s) to be insured by this policy;
  • Please consider our Target Market Determination (TMD) in full on the Documents page of our website.
  • The Insured
  • Owner TitleOwner NameD.O.B. 
  • (Finance, Bank, Credit Union etc. if applicable)
  • DD slash MM slash YYYY
  • The Vessel
  • (Hull Id Number)
  • The Motor
  • The Trailer
  • Sailing Vessel Only (Yachts / Catamarans)
  • MastRiggingSails
  • MastRiggingSails
  • MastRiggingSails
  • MastRiggingSails
  • Equipment & Accessories
  • ItemValue 
  • Vessel Storage
  • Vessel Use
  • What will the vessel be used for?
  • Owner's & Skipper's experience
  • DD slash MM slash YYYY
  • Please provide details of previously owned vessels. Leave blank if none.
  • Skipper NameMake & ModelHull LengthType (Power or Sail)Length of OwnershipArea of Navigation 
  • Please provide details of relevant licences and qualifications.
  • Skipper NameMarine Licences / QualificationsDate Obtained 
  • Claims & Convictions
  • Have you, the Proposer(s), or Drivers(s) in the past 5 years:
  • Date of LossDescription of LossSettlement Amount 
  • General
  • If yes, please provide a copy
  • If yes, please provide details
  • Options
  • NOTE: Race MUST be organised by a Club or Association. The Standard limit for Yacht Racing cover is 50nm. If you require longer nautical miles distance, please advise.
  • Sum Insured
  • DD slash MM slash YYYY
  • Please note a split up of the sum insured is not compulsory. You may nominate values when an Agreed Value policy is offered.
  • Split up of Sum Insured
  • including hull, motor(s), trailer, masts, spars, rigging, sails, equipment & accessories
  • This field is for validation purposes and should be left unchanged.

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Marine Industry