Boat and Yacht Quote - Tolleson Insurance

972-885-8227

Boat/Yacht Insurance

Select Your Agent*
Primary Insured's First & Last Name*
First Last
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Primary Insured Cell Phone Number*
Do we have permission to text you about policy changes?*
- Yes
- No
Primary Insured Email*
Primary Insured Gender*
- Male
- Female
Primary Insured DOB*
MM slash DD slash YYYY
Primary Insured Driver's License Number*
Driver's License State*
Additional Drivers
Name Actions
There are no Drivers.
Maximum number of drivers reached.
Boat Information
Length*

in feet
Year*
Manufacturuer*
Model*
Hull Material*
Type*
Engine Type*
Fuel Type*
Total Horsepower*
Speed*
Watercraft Storage Location*
Street Address Address Line 2 City State ZIP Code
Type of Storage*
Years of Experience Operating a Watercraft*
Principal Operator Boating Education Level*
Safety Course
Is this vessel a Personal Watercraft (a Jet Ski or Wave Runner versus a boat)?*
- Yes
- No
Is this vessel used for Private Pleasure Use Only?*
- Yes
- No
Is this vessel chartered?*
- Yes
- No
Is this a full-time live aboard exposure?*
- Yes
- No
Is this a houseboat that has salt water/coastal exposure?*
- Yes
- No
Have there been any boating losses in the last 3 years?*
- Yes
- No
Is the principal operator over 25 years old?*
- Yes
- No
Are there more than 2 unrelated owners/operators?*
- Yes
- No
Does this boat/yacht go faster than 75 mph?*
- Yes
- No
Are there more than 2 motor vehicle incidents per operator and/or 3 per household?*
- Yes
- No
Has this client's insurance ever been canceled, declined, or non-renewed?*
- Yes
- No
Does any operator have any criminal convictions(Arson/Burglary/DUI) within the past 5 years?*
- Yes
- No
Is the boat used on coastal waters of the Atlantic Ocean, the Pacific Ocean, or the Gulf of Mexico?*
- Yes
- No
The following questions apply to any watercraft to be insured on this policy - Check all that apply
- Rented or leased to others?
- Used for business purposes?
- Previously salvaged?
- Permanent living quarters?
- High performance?
- Homemade or kit?
- More than two motors?
- Exposed engine, other than outboard motors?
- Owned by business?
Upload your current boat policy
Accepted file types: doc, pdf, jpg, Max. file size: 200 MB.
State law requires that the customer be informed that credit information will be used during the quote/application process and that the customer be provided with a copy of the current statement. This information may also be used to provide you with a quote for other insurance products we offer. By submitting this form I certify that I have reviewed the application information contained herein. I verify that the information is true, correct and complete.*
I agree
State law requires that the customer be informed that credit information will be used during the quote/application process and that the customer be provided with a copy of the current statement. This information may also be used to provide you with a quote for other insurance products we offer.

By submitting this form I certify that I have reviewed the application information contained herein. I verify that the information is true, correct and complete.
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Boat/Yacht Insurance

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