Enquiry Form for General Yacht Insurance

Please fill in the form below. If you prefer, we can take the details over the phone. Just call us on 01273 57 37 27 and we'll go through all the details together.
* 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.)