Watercraft Insurance Application

Download the printable Pleasure Craft Insurance PDF below:

Pleasure Craft Insurance PDF

Watercraft Insurance Application

    Operator(s) Experience


    Operator(s) Information
    Operator #1

    Operator #2

    Operator #3


    Vessel Information



    Trailer

    Engines

    Inboard
    Propeller stays in water

    In-Out
    Propeller can raise out of the water

    Outboard
    Entire Engine is outside of hull

    Auxiliary/Kicker
    Smaller motor for trolling/fishing

    Jet Propulsion
    Boat is propelled by a stream of water ejected from motor

    inboard engine

    in-out engine

    outboard engine

    kicker engine

    jet engine

    Main Engine #1 (required)

    Main Engine #2

    Auxiliary

    Additional Information





    Please note: Coverage is not considered bound until you have received confirmation from a licensed broker.

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    Please do not hesitate to reach out if you have any questions at all.

    The right products, great service, the best people

    Contact Us

    Cooper Location – Orchard Plaza

    Tel: 250-860-6064
    Fax: 250-860-6094

    Glen Park Location – Glen Park Village

    Tel: 250-862-9700
    Fax: 250-862-9742