Yacht & Pleasure Craft Insurance

Date *

Email Address *

Full Name *

Phone *

Postal Address

Date of Birth

Occupation *

Have you had any accident or loss in the last five years *Have you had any accident or loss in the last five years in connection with any boat you have used or owned?

Claims Details

Have you ever had any insurance on any boat cancelled, refused or renewed or any special terms applied to the policy? *cancelled, refused or renewed ?

Have you or any person you live with ever been convicted of any offence other than driving offences? *ever been convicted of any offence other ?

Are you the sole owner of craft? *Are you the sole owner of craft ?

Insured Value *

Sole owner of craft Details

Your Experience/Qualifications: *

Craft Details

Name of Craft

Manufacturer *

Model: *

Year Built: *

Hull Material

Length:

Cruising Range:

Private & pleasure use only? *Private & pleasure use only?

If no what will it be used for? (i.e. residential)

Will you need additional cover

Waterskiing *NoYesWaterskiing

Towing of toys *NoYesTowing of toys

Racing risks required? *NoYesRacing risks required?

If yes do you want to insure your masts/spars/sails/rigging whilst racing? *NoYesIf yes do you want to insure your masts/spars/sails/rigging whilst racing?

What is cost of replacing the entire rig new? *

Engine Details

Engine Type *Engine Type

Engine BHP *

Max Speed *

Engine Fuel Type *DieselPetrolElectricOther

Other Engine details *

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Head Office: 01902 796 793
Policy Renewals : 01902 796 793
Mon-Fri 9am-5.30pm
enquiries@marineinsurance-ircm.co.uk

IRCM Insurance Risk & Claims Management | Three Charter Court | Broadlands | Wolverhampton | WV10 6TD

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IRCM Insurance are authorised and regulated by the Financial Conduct Authority. Insurance, Risk & Claims Management Limited (Registered No: 3928405 & FCA No: 304632).