Boat Insurance Form - Get Rates Inc.

Boat/Watercraft

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Step 1 of 8 - page 1

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Tell us about your Boat/Watercraft

Select the type of watercraft*

Watercraft model year*

Watercraft manufacturer*

Please specify manufacturer*

Watercraft model*

e.g. Outlander XT, Sportsman 570, etc.

Does the vessel have a fridge, sink, and cooking appliance?*

Yes

Does the vessel have full height standing room in the cabin?*

Yes

Name*

First Last

Phone number*

Mailing address?*

e.g. 10 Water Street, Somecity, ON. A1A 1A1

When would you like coverage to begin?*

MM slash DD slash YYYY

How we collect and use your information*

GETRATES collects, uses, and discloses the personal information you provide for yourself, and that we receive from third parties, to assess your insurance needs, offer you an insurance quote, analyze the use of this quote service, and prevent fraud.

I agree

Select Year Please Select,

Policy Holder -

tell us about your Boat/Watercraft

Do you own, lease, or finance your watercraft?*

Own

Lease

Finance

What month and year did you buy your watercraft?*

MM slash DD slash YYYY

What month and year did you lease/finance your watercraft?*

MM slash DD slash YYYY

What is the actual cash value of your watercraft?*

Actual Cash Value will be the least of fair market value or what you paid for it with upgrades plus applicable tax. We will pay for a similar unit (year, make, model) to the one you just lost including depreciation.

What was the total value of your watercraft when you bought it?*

What was the total value of your watercraft when you leased/financed it?*

Select Year Please Select,

Policy Holder -

please tell us about yourself

Date of Birth*

Month*

Year*

What is the principal operator's years of boating experience with vessels of a similar size and type.

Years of experience

What was the length (in feet) of the largest boat the APPLICANT has owned?

Length in feet

Member of boating club / association?*

Yes

Club Name:

Boating education & courses:*

Has the APPLICANT carried insurance on a marine pleasure craft in the past 5 years?*

Yes

Previous Insurer?

Sex*

Why do we ask about your sex?

When you tell us the sex listed on your licence, we can give you the most accurate quote.

If you identify as nonbinary or Gender X, contact one of our licensed insurance representatives to get a quote that’s just right for you.

Male

Female

Marital status*

For insurance purposes, common law means an unmarried couple has lived together for at least one year.

Choose Married/Common Law if you are widowed.

Single

Married/Common Law

Email*

Consent*

I consent to receive communication by email or phone from GETRATES. I can opt out at any time by following the instructions at the bottom of the email I receive.

Yes

Select Year Please Select,

Policy Holder -

Tell us how the Boat/Watercraft is used

Where is the vessel and property used?

Select multiple if applicable.*

ILR-1 (Inland Waters-Canada/Bordering US States): The navigable inland lakes and rivers of Canada, and the states of Washington, Idaho, Montana, North Dakota, Minnesota, Wisconsin, Michigan, Indiana, Ohio, Illinois, Pennsylvania, New York, Vermont, New Hampshire, Maine, and Alaska.oice

PAC-1 (Protected Coastal-BC/Washington): The navigable coastal waters of British Columbia and Washington state, but not outside of lines drawn between the following places: Cape Flattery and Owen Point; Cape Sutil and Mexicana Point; Cape James and Allison Harbour. In no event will the Insured Vessel be used in the coastal waters and Inlets of the West Coast of Vancouver Island between Owen Point and Cape Sutil or on the Fraser River above the mouth of the Sumas River.

PAC-2 (Unprotected Coastal-West): The navigable coastal waters of the west coast of Canada but not north of Skagway, Alaska, and not west of Cape Spencer. In no event shall the Insured Vessel exceed 100 nautical miles offshore. The navigable coastal waters of Washington state but not west of Cape Flattery.

ATL-1 (Coastal-East): The navigable coastal waters of Eastern Canada and the United States but not north of 52°N and not south of 40°N. In no event shall the Insured Vessel exceed 100 nautical miles offshore.

Other: Not Described Above.

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Is your watercraft used more than 14 nautical miles from shore into International waters?*

Yes

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Please review the following:*

The watercraft is NOT chartered or rented to others (no bareboat charters).
The watercraft is only used for private pleasure, NOT for carrying passengers, cargo, or any business purposes.
The watercraft has NO existing or unrepaired damage.
The watercraft has NOT been modified from the original design or manufacturer’s specifications.
The watercraft is NOT operated south of the 40th parallel and is NOT primarily moored in the USA.
The watercraft and engine are NOT modified, homemade, and do NOT exceed the manufacturer’s horsepower specifications.
The watercraft is NOT used for parasailing, paraskiing, or racing.
The watercraft DOES NOT have propane or compressed natural gas (CNG) refrigerators.

Check the box if you agree

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Please review the following:*

Is the boat kept out of the water (stored on land) from November 30 to April 1 each year? Does the boat have all the required safety equipment (like life jackets) as required by law?

Check the box if you agree

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Please review the following:*

Is the boat kept out of the water (stored on land) from November 30 to April 1 each year? Does the boat have all the required safety equipment (like life jackets) as required by law?

Check the box if you agree

(Check all that apply):

Has the principal operator had any motor vehicle claims in the last 3 years?

Has the principal operator had any motor vehicle convictions in the last 3 years?

Has the principal operator had their driver's license suspended?

Select Year Please Select,

Policy Holder -

Tell us about your Boat Specifications

Vessel Details

Length in feet*

Hull ID/Serial #

Hull type*

Enter the type*

How many engines does your watercraft have?*

One

Two

Select Year Please Select,

Policy Holder -

Tell us about the engine specifications

Engine type*

Fuel type*

Model year*

Manufacturer*

Horsepower*

Max speed of watercraft (MPH)*

Where is the Vessel kept when not in use - during boating season?*

Where is the Vessel kept when not in use - during the off season?*

Select Year Please Select,

Policy Holder -

Do you want to add a trailer ?

Do you want to add a trailer?*

Yes

Trailer value*

Trailer model year*

Trailer manufacturer*

Trailer length in feet*

Select Year Please Select,

Policy Holder -

Do you want to add an Auxiliary Motor ?

Do you want to add an Auxiliary motor?*

Yes

Auxilary engine value*

Auxiliary engine model year*

Auxiliary Engine type*

Auxiliary engine horsepower/thrust*

Boat/Watercraft

Tell us about your Boat/Watercraft

Select Year Please Select,

tell us about your Boat/Watercraft

Select Year Please Select,

please tell us about yourself

Select Year Please Select,

Tell us how the Boat/Watercraft is used

Where is the vessel and property used?

Select Year Please Select,

Tell us about your Boat Specifications

Vessel Details

Select Year Please Select,

Tell us about the engine specifications

Select Year Please Select,

Do you want to add a trailer ?

Select Year Please Select,

Do you want to add an Auxiliary Motor ?

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