Pleasurecraft | Private Vessel form

  • Looking for a quick quote? Please fill in the compulsory fields * and we will provide you with an indication. Please note the remainder of the form may be required to provide formal terms or cover.
  • Brokerage
  • Cover is subject to Underwriter acceptance however may commence from the date requested and submitted.
  • The Insured
  • Owner TitleOwner NameD.O.B. 
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  • (Finance, Bank, Credit Union etc. if applicable)
  • The Vessel
  • (Hull Id Number)
  • The Motor
  • The Trailer
  • Sailing Vessel Only (Yachts / Catamarans)
  • MastRiggingSails 
  • MastRiggingSails 
  • MastRiggingSails 
  • MastRiggingSails 
  • Equipment & Accessories
  • ItemValue 
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  • Vessel Storage
  • Vessel Use
  • What will the vessel be used for?
  • Owner's & Skipper's experience
  • Please provide details of previously owned vessels. Leave blank if none.
  • Skipper NameMake & ModelHull LengthType (Power or Sail)Length of OwnershipArea of Navigation 
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  • Please provide details of relevant licences and qualifications.
  • Skipper NameMarine Licences / QualificationsDate Obtained 
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  • Claims & Convictions
  • Have you, the Proposer(s), or Drivers(s) in the past 5 years:
  • Date of LossDescription of LossSettlement Amount 
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  • General
  • If yes, please provide a copy
  • If yes, please provide details
  • Options
  • NOTE: Race MUST be organised by a Club or Association. The Standard limit for Yacht Racing cover is 50nm. If you require longer nautical miles distance, please advise.
  • Sum Insured
  • Please note a split up of the sum insured is not compulsory. You may nominate values when an Agreed Value policy is offered.
  • Split up of Sum Insured
  • $0.00
  • including hull, motor(s), trailer, masts, spars, rigging, sails, equipment & accessories
  • This field is for validation purposes and should be left unchanged.