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Boat Insurance Quote

Boat Insurance QuoteGravity Certs2024-11-25T14:53:45-04:00

"*" indicates required fields

Tell us about yourself

Named Insured*
Mailing Address*

Watercraft Information

Is the watercraft titled in the name of a company or corporation?*
This field is hidden when viewing the form
Equipment*
Check all that apply. Select None if no equipment.
Purchase Date*
Do this boat have a trailer?*
Have you had a survey on your watercraft in the past 3 years?
MM slash DD slash YYYY
Survey was conducted*
A SURVEY WILL BE REQUIRED. Liability only policies will need an In Water Survey. To include Hull Coverage, an Out of Water Survey will be required. To find a local survey visit the Society of Accredited Marine Surveyors.

Mooring and Usage

Is the mooring/storage address the same as your mailing address?
Mooring Address
Where is the vessel typically used?*
How do you use your watercraft?*
Select all that apply

Engine/Outboard Motor Information

Engine(s) Information
For main vessel only
HP
Fuel
Year Built/Overhaul
Manufacturer & Model
Serial #
Date Purchased
Purchase Price
 

Tender/Dinghy Information

Is there any tender or dinghy?
Tender / Dinghy Information
Year
Engine Make/Model
HP
HID
Reg #

Operator 1

Name
Date of Birth*

Prior Boating Experience

Many companies require boat ownership when you want to insure a boat 27' or greater in length. Have you owned any prior boats before?*
Prior Boats Owned*
Boating Qualifications
Length/Make details Previous Boat
Years Experience As
 
Any violations/suspensions (including automobile) in the last 5 years
Add Second Driver

Operator 2

Driver 2: Name*
Driver 2: Date of Birth*
Driver 2: Any violations/suspensions (including automobile) in the last 5 years
Add Third Driver

Operator 3

Driver 3: Name*
Driver 3: Date of Birth*
Driver 3: Any violations/suspensions (including automobile) in the last 5 years

General Information

Is boat chartered to others with captain?
Is boat chartered to others without captain?
Will the boat used for racing?
Is the boat used for water skiing or diving?
Is the boat used for fare-paying passenger charters?
Is the boat used commercially or for business purposes?
Will the vessel be operated single handed at night?
Was any operator involved in a marine loss in the last 10 years?
Does the applicant employ a paid crew?
Is this a year-round liveaboard vessel or is the vessel used as a residence 12 months?

Coverage Options

If you are unsure about these coverage limits, skip this section. Your agent will talk to you about recommending the proper coverage limits needed.

Final Questions

Have you had any boat insurance losses in the past 5 years?*
Is your watercraft currently insured?*

Contact Information

May we text you regarding your insurance?*
MM slash DD slash YYYY
Acknowledgement - By proceeding with obtaining a quote from Fountainhead Insurance, you consent, where applicable, to allow us and our affiliated insurance brokers/carriers to obtain and review your credit-based insurance score, motor vehicle report (MVR), and claims history as part of the insurance quoting and underwriting process. This information will be used solely to determine your eligibility and rates for insurance, adhering to the Fair Credit Reporting Act (FCRA) and other relevant laws, ensuring the confidentiality and security of your personal information. Additionally, by providing your contact information and clicking “I Agree,” you agree to our communication policy, which allows us to contact you regarding your insurance quote via phone, email, recorded voicemails, or SMS text messaging. You may opt out of these communications at any time. By clicking “I Agree,” you acknowledge and consent to these terms only where such procedures are applicable. All the above information is accurate and true to the best of my knowledge.*
This field is for validation purposes and should be left unchanged.
View Insurance Fraud Statement

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Insurance Fraud Statement

Fraud is a crime

If your application contains purposefully misleading, absent, or inaccurate information, you could be charged with fraud. Your insurance carrier could potentially void your policy, or you could face civil or criminal charges or penalties.

Any person who knowingly and with intent to defraud any insurance company or other person, files an application for insurance or statement of claim containing any materially false information or conceals, for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent act, which is a crime.

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