Telephone +44 (0) 1892 549 822
Enquiry Form for General Yacht Insurance

Please fill in the form below.
* Required fields

PERSONAL DETAILS
* Assured:
* Address:
* Assured Nationality
* Telephone:
* Email address:
CREW DETAILS
* Number of Crew (including Skipper):
CRAFT DETAILS
* Yacht Name
* Make and model:
* Length:
* Year built:
* Construction material:
* Flag/port of registration:
* Purchase price & date:
* Sum insured & currency
* Personal effects sum insured
ENGINE DETAILS
* Number of engines & year built
* Engine make:
* Fuel type:
* Horsepower:
* Maximum speed (knots):
MOORING DETAILS
Mooring location:
Type of mooring: (tick box)

Marina
Pontoon
Berth
Swinging Mooring
Fore and Aft Quayside
Pile Mooring
Other
* Months in commission:
Is craft laid up during winter?: (tick box)

Yes
No
If yes, which months?:
and, what is the lay up location:
OTHER INFORMATION
Dinghies make, value & year built:
Dinghies engine make, value & year built:
Number of fire extinguishers, manual/automatic, contents:
* Will the craft be used for racing? Yes (please provide details below)
No
If 'Yes', state type & events and replacement value of masts, sails and rigging:
* Required period of insurance:
* Cruising plans for forthcoming year:
* Experience (no. years) & other qualifications:
When was the last survey carried out?
No claims discount:
* Have you had any claims in the last five years? Yes
No
If yes give details and costs in the last five years:
Current Insurer:
Target Premium
Please detail any other information or material facts that Underwriters should be made aware of:

(N.B. A material fact is one likely to influence acceptance or assessment of this Application by Insurers.  If you are in any doubt as to whether a fact is material or not, you must declare it.  Non-disclosure or misrepresentation of a material fact may entitle  Underwriters to void the Insurance.)