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IWIS

international Waters Insurance Services

EQUIPMENT

Flag

Fuel

Comments

Personal Property

Model or Rig

Fields with an * are required.

Sorry about the rather personal questions - underwriters do seem to ask a lot of them these days!

We have combined questions from all our underwriters into one form, so that we don't have to keep coming back to you for more information. It is a bit lengthy, but will save you time in the long run.

Has any operator been convicted of a criminal offense or felony (including DUI)?

Phone

Navigation Area

City, State, Zip Code

Boating related claims?

Current insurance company

Planned location for Hurricane or Cyclone season

Boat Name

Other Safety Equipment

GPS Anti-Theft Tracking Device

Liability Limit

Don't forget to click on "submit" >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>

Number of paid crew

Engine Year

Total Investment

Construction

Fiberglass

Carbon Fiber

Aluminum

Steel

Wood

Epoxy over wood

Other

Engine Quantity

Fire Extinguishers

Manual

Fully Automatic Halon

None

Outboard

Click to attach your survey, resume or other documents

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Do you have a recent survey?

Boats Owned 2:

Engine HP

Model Year

Boats Owned 1:

Claim Details

Driver’s license # & state

Full mailing address

Boat's current location

E-mail address *

Name on Title *

Boats Operated (if different from above)

Fume Detector

OWNER(s)

Builder or Brand

Hull Deductible (excess)

Medical Payments

Lay-up Period

Boating courses completed

Residence is...

Operator Names

Maximum Speed

Years Boating Experience

Engine Manufacturer

Years Ownership Experience

Date of Birth

ENGINE(s)

Tender Coverage

Occupation

Choose your agent: *

First Available

Laura

Debbie

Susan

Hull ID

Length overall

Purchase amount

Have you had your license suspended, canceled, revoked, or barred?

Marital Status

COVERAGE REQUESTED

Boating License held?

Tender

Hull Sum Insured

VESSEL

DETAILS

Citizenship

USE

Purchase Date

Mast Material

Aluminum

Carbon Fiber

Wood

None

Other

USE

Expiration date

Thank you for filling out the on-line quote request. I'll send your information to the underwriters right away. It usually takes 1-2 business days to receive a quote.

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