Free Insurance Quote - Bristol Insurance Group

Step 1 of 6: Personal Information

Fields marked with an * are required

First Name *

Last Name *

Address *

City *

Zip / Post Code *

Country

Referred by

Occupation

Date of Birth *

How to contact you

Email *

Best phone number to reach you *

Fax Number

Step 2 of 6: Boating Experience

Have you ever owned or currently own a boat?

Yes
No

How many years have you been boating as an owner?

... as operator or crew member?

What courses or certificates have you earned?

Certificate from US Power Squadron Class
Certificate from USCG Auxiliary Class
US Coast Guard Captain's License
American Sailing Association
United States Sailing Association
Other

Step 3 of 6: Ownership History

Describe the boat you own now:

(leave blank if not applicable)

How many years have you owned this boat?

Boat Length and Make

What company insures this boat?

Were there any claims filed in the last five years?

Yes
No

Does this boat have any charter or commercial use?

Yes
No

Does this boat have a paid captain?

Yes
No

Does this boat have a paid crew?

Yes
No

Describe the boat you previously owned:

How many years did you own this boat?

Boat Length and Make

What company insured this boat?

Were there any claims filed for this boat?

Yes
No

Did this boat have a paid captain?

Yes
No

Did this boat have any charter or commercial use?

Yes
No

Did this boat have a paid crew?

Yes
No

Step 4 of 6: The Boat You Want To Insure

Purchase Information

Closing/Purchase Date (d/m/y)

Purchase price (with tax if applicable)

Date of most recent survey

Vessel Details

Year, Make, and Model

Length

Your Engine(s)

Engine Make

Horsepower

Max speed (knots or mph)

Step 5 of 6: Safety Equipment & Tender

Do you have a trailer for your boat?

Yes
No

Your Tender

Tender Year, Make, and Model

Tender Length

Tender Value

Outboard Year, Make, and Model

Outboard Horsepower

Outboard Value

Do you have a trailer for your tender?

Yes
No

Step 6 of 6: Moorage & Navigation Area

Fields marked with an * are required

Home port city/state

Marina/Storage

Do you live on your boat?

Yes
No

Do you have a condo slip?

Yes
No

Is your boat in a boathouse?

Yes
No

Navigational Area

Where do you or would like to take your boat?

What is 4 + 1? *

Free Yacht & Boat Insurance Quote Form