Claims Form

IF YOU WOULD LIKE TO FILE A CLAIM YOU CAN FILL OUT THE FORM BELOW.

CLAIMS FORM
Fields marked with an * are required
Policy Number*
Date Of Loss*
Name of Boat*
Name of Owner*
Contact Name*
If contact not the same as owner explain the relationship
Contact Email*
Address*
Street Address City State ZIP Code
Best contact number*
Your Boat Details*
Make*
Model*
Motor*
Trailer Brand*
Claim Type*
Brief description of the loss*
Where is the boat now?*