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Boat / Marine Quote
We follow the highest industry standards to safeguard the confidentiality of your personal information and secure the transmission of your information from your computer. Please fill out this form as completely as possible to ensure an accurate quote.
E-Mail:*
Valid e-mail is required
First Name:*
Last Name:*
Address Line 1:*
Address Line 2:
City:*
State:*
Choose a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:*
Phone:*
Social Security Number: Not required, however we will be able to provide a more accurate quote
Current Carrier Information
Who is your current insurance carrier (not agency)?
Insurance Carrier Name:*
What is the expiration date of your current boat policy?
Expiration date:*
mm/dd/yyyy
Years of Boating Experience?:*
Has the driver taken any safety courses?*
Yes
No
Safety Course Taken?*
Choose a Safety Course Taken?
NONE
USCG Course
USCG Auxiliary
USPS
CAPTAIN
Boat Information
Boat Info (Year, Make & Model):*
Serial # 1 / Hull ID:*
Registration #:
Hull Material:*
Type of Hull*
Choose a Type of Hull
Cabin Cruiser
Open Cockpit
Sailboat
Pontoon
BASS
Personal Water Craft
SKI
Length:*
Maximum Speed:*
Boat Use:*
Select
Boat #1:
Pleasure
Residence
Racing
Fishing
Is trailer included in value of boat?:*
YES
NO
Motor Information: Year*
Make:*
Model:*
Horsepower:*
Inboard / Outboard / I/O:*
Choose a Inboard / Outboard / I/O
None
Inboard
Outboard
I/O
Gas / Diesel:
Gas / Diesel:
Gas
Diesel
Serial #:
Trailer Information:
Year
Make:
Model:
Value:
Add a 2nd boat?*
Yes
No
Boat #2 (Year, Make & Model):
Serial # 2 / Hull ID:
Registration #:
Hull Material:
Length:
Maximun Speed:
Boat Use #2:
Select
Vehicle #2:
Pleasure
Residence
Racing
Fishing
Is Trailer included in value off boat?
Motor Information: Year
Make:
Model:
Horsepower:
Inboard / Outboard / I/O:
Gas / Diesel:
Serial #:
Trailer Information: Year
Make:
Model:
Value:
Driver #1 Information
Driver Name:*
Date of Birth:*
mm/dd/yyyy
Marital Status:*
Single
Married
Divorced
Widowed
Driver Social Security No: Not required, however we will be able to provide a more accurate quote
Residence Type:*
Own Home
Rent
Live With Parents
Education:
Select
Education:
GED
High School
Associate Degree
Bachelor Degree
Master Degree
PhD
Doctor
JD
Driver`s License No:*
List Boat Violations:*
List/Describe Any Accidents:*
Add a 2nd driver?*
Yes
No
Driver #2 Information
Driver Name:
Date of Birth:
mm/dd/yyyy
Marital Status:
Single
Married
Divorced
Widowed
Driver Social Security No:
Residence Type:
Own Home
Rent
Live WIth Parents
Education:
Select
Education:
GED
High School
Associate Degree
Bachelor Degree
Master Degree
Driver`s License No:
Which car do you drive?
List Traffic Violations:
List/Describe Any Accidents:
Requested Coverage
Coverage is listed below as: per person/per accident/property damage.
Liability Coverage & Limits:*
Select Liability Coverage
$25,000/$50,000/$25,000
$50,000/$100,000/$50,000
$100,000/$300,000/$100,000
$250,000/$500,000/$100,000
Person/Accident/Property
Unisured Coverage is listed below as: per person/per accident.
Uninsured/Underinsured Coverage:
Select
Uninsured/Underinsur
$25,000/$50,000
$50,000/$100,000
$100,000/$300,000
$250,000/$500,000
$100,000 Combined Limit
$300,000 Combined Limit
$500,000 Combined Limit
Person/Accident
Uninsured Property Damage:
Select Uninsured Motorist
$10,000/accident
$25,000/accident
$50,000/accident
Comprehensive/Other Than Collision
Deductible Boat #1:*
Select
Deductible Vehicle #
$50.00
$100.00
$200.00
$500.00
$1000.00
Deductible Boat #2:
Select
Deductible Vehicle #
$50.00
$100.00
$200.00
$500.00
$1000.00
Collision
Deductible Boat #1:
Select
Deductible Vehicle #
$50.00
$100.00
$200.00
$500.00
$1000.00
Deductible Boat #2:
Select
Deductible Vehicle #
$50.00
$100.00
$200.00
$500.00
$1000.00
Other
Towing Coverage:*
Yes
No
Comment or Questions:
In order to provide you with the most accurate quote possible, All in One Insurance Group will obtain your credit-based insurance score from a consumer reporting agency. If you decide to apply for a policy through an All in One Insurance Group Agent, we may obtain additional reports to verify the driving records of some or all persons to be covered under the policy, along with prior claims history reports of the named insureds, which may include information about other drivers in the household. Most automobile insurers use credit information, in conjunction with other factors, to calculate an insurance premium for new customers. Our use of this information will not have an effect on your credit history.
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