Boat Insurance Quote Request

* All fields with an asterix are mandatory fields.

Name *

Mandatory Field
Street Address *

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Street Address - line 2
City *

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Province *

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Postal Code *

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Phone * - ### - ### ####
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Email *

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Age
Policy Effective Date / MM / DD YYYY
Liability Requested
Boat Type
Amount of insurance on boat
Boat Manufacturer
Year built
Overall length
Main motor
Construction
Year of motor
Type of motor
Manufacturer
Horsepower
Maximum speed of motor
Amount of insurance on motor
Twin engine
Yes No
Trailer
Yes No
Year of trailer
Make and model of trailer
Amount of insurance on trailer
Years operated
Years owned
Courses & Level Completed
Loss details
Has any company ever cancelled or refused insurance of this description?
Yes No
Disclaimer

This is a request to provide a quote only and is not an insurance policy. It is not an offer of insurance. Further information may be required in order for a complete quote to be provided.

This quote request contains some information about coverage offered but it does not list all of the conditions and exclusions that apply to the described coverage. The actual wording of the policy governs all situations.

This quote request is only available to persons resident in the Province of Ontario. The products described are subject to change without notice at any time.
Select one of the following: *
I agree to the disclaimer I do not agree to the disclaimer
Mandatory Field
Type the letters you see in the image below.