boat and yacht insurance

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Fields marked * are required.    
     
Title: *
Name: *
Date of birth: *
Address: *
   
Town / City: *
County: *
Postcode: *
     
Home phone number: *
Business Phone:  
Mobile phone number:  
Email address:  
Occupation: *
Date of birth: *
Are you the sole owner of the craft: * Yes No
  If no, please provide further details:
 
How many years experience do you have with
this type of craft:		 *
12 month insurance cover commencing on: *
     
Hull details    
  Manufacturer:
*
  Type / Class:
*
  Sail Number:
*
  Year of build:
*
  Length:
*
  Hull material:
*
  Name of boat:
*
  Was the craft built professionally:
* Yes No
  Normal location of your craft:
*
  Is the craft currently:
* Ashore Afloat
 
  If Afloat - Please state mooring type
i.e. swinging, marina berthed etc.
 
 
  If the craft is to be laid up, please
state dates and location:
 
     
Engine Details    
  Engine Type:
* Inboard Outboard
  Manufacturer:
*
  Year of manufacture:
*
  Brake Horse Power:
*
  Max design speed:
*
  Serial Number:
*
  Cruising range:
* Inland Waters of the UK
Inland & Coastal Waters of UK
Other:
Is the craft used for private pleasure purposes: * Yes No
Has any insurer declined to accept or cancelled any
special terms to a policy you have held:		 * Yes No
Have you or any other person who may use the craft
been subject to any decleration of
bankruptcy or been convicted for offences
other than driving:		 * Yes No
Have you had any accidents or losses during the
last three years with any craft owned,
hired or used by you:		 * Yes No
Please tick if you require cover for Third Party
Risks only:		  
     
If you ticked the box above, please leave out the
following section.		    
Do you require cover to be extended to include
racing risks: 		  Yes No
  Value of masts, spars sails etc.:
 
Sums insured:    
  Hull & Equipment:
Items which would normally be offered for sale
with the craft i.e. sails, oars but not personal
effects such as lifejackets and wetsuits etc.
 
Purchase Price:
Year Purchased:
Value to be insured:
  Outboard Motor:
 
Purchase Price:
Year Purchased:
Value to be insured:
  Launching Trolly:
 
Purchase Price:
Year Purchased:
Value to be insured:
  Road Trailor:
 
Purchase Price:
Year Purchased:
Value to be insured:
  Personal Effects
 
Value to be insured:
 
  Please list personal effects including
a sum insured, for items in excess
of £200:
 
Any additional equipment:
Please include an item description and a sum insured. Also include
serial numbers of any auxiliary outboard motors.		  
Amount of no claims discount allowed at last renewal (%):  
  Do you require this to be protected:
  Yes No
   

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Arthur C Savage & Company Limited t/a Arthur Savage Insurance.                                                           Company registration number 310113 / FSA Firms authorisation number 310137
Registered Address: 2 - 3 High West Street, Dorchester, Dorset, DT1 1HZ

Authorised and Regulated by the Financial Services Authority
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